FITNESS BOOKING FORM

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Weight TrainingJump Rope Training

Tuscany Golf Village

Stirling Club (Members Only)

Your Location (If Approved)

Yoga FitnessGolf Fitness

Tell Debra how to get in touch with you!
* E-mail
* Cell
Best Time to Contact

What type of workout session would you like to request?

Weight Training   Yoga/Thai Jump Rope Training   Golf Fitness Other

What is your experience level?

Never Tried   On & Off Many Programs   Worked w/Trainer Previously   Elite Athlete

What is your height and weight?

Weight:   Height:

Please select your primary time choice:

Before 12Noon   1-4PM  5-9PM 10PM or later

Please select your secondary time choice:

Before 12Noon   1-4PM  5-9PM 10PM or later

Optional: Would you like a personal workout video recording? (Tripod Only--No 3rd party) Yes No

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Prepaid Fitness Sessions

Initial Assessment for Golf $250

 

 


Golf Fitness Group Workshop (2-Hr Rate per Individual ) $250
(Assessments Done with Group)

 

 


 Initial Assessment for General Fitness $100

 

 


One-On-One Private Fitness Session $80
Requires a 10-Session Commitment

 

 


Group Fitness Session (4-Person Individual Rate) $25
Requires a 10-session commitment

 

 


Debra Stefan Fitness Services

702-898-4622

www.DebraStefan.com

DebraStefan@cox.net

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