Personal Training (EN) | Charles Simmons Music & Fitness

Before I can accept you as a client, I need some information about you. Please fill out this form as completely as possible! Help me help you. 🙂

Contact Info
Name*
**Applicants under 18 years old MUST have parent / guardian permission to schedule a session!**
First Last
Age*
Address*
Street Address City ZIP / Postal Code Country
Email*
IM / Chat Program?*
My online consultations and training sessions are all conducted LIVE via video chat. You should have a fast DSL or cable-based internet connection, and one of the three video chat programs listed below:
- Skype (Mac / PC, DOWNLOAD)
- Facebook Messenger (Mac / PC, INFO)
- FaceTime (Mac Only, INFO)
Skype ID
Facebook User ID (found at the end of your Facebook URL)
FaceTime (Apple ID)
Choose your Training
Here you can choose the type of training you'd like to participate in, and how often you'd like to train.
Training Type
Consultation*
In order for me to create an exercise program based on your individual needs, an initial consultation is required. If you live within 50 km of the Stuttgart area, I strongly recommend that we meet in person; otherwise, the initial consultation will be conducted online via video chat. The details of the initial consultation will be coordinated via email.
- In person
- Video chat
How did you hear about me?
Permission*
- I agree to allow my data to be used for informational and statistical purposes as described in the Privacy Policy.
Captcha

Contact Info