Personal Training & Weight Loss Mgt. Package Savings

Select the on-line and telephone coach personal training & weight loss special offering and one of our trainers will contact you by email and telephone to set up your one-on-one counseling sessions to you achieve your desired fitness goals. After your initial consultation, your personal trainer and you will establish weekly teleconferences to review your fitness goals, your successes, failures, how to overcome self-sabatage, continued success, and finally achieve your goal(s).

Step 1: Select Your Item
Progress Chart to Log Your Progress $ 7
Getting Started at the Gym Phase I. 1st 3 weeks $ 45
Getting Started at the Gym Phase II. 2nd 3 weeks $ 45
Intermediate Program at the Gym Phase III. 3rd 3 - 4 weeks $ 45
Getting Started at Home Phase I. 1st 3 weeks $ 45
Getting Started at Home Phase II. 2nd 3 weeks $ 45
Intermediate Program at Home Phase III. 3rd 3 - 4 weeks $ 45
Intermediate Program at the Gym Phase I. 1st 3 weeks $ 35
* This is an 8 week program focused on general conditioning, building your endurance, and strength.
Intermediate Program at the Gym Phase II. 2nd 4 weeks $ 35
* This is an 8 week program focused on general conditioning, building your endurance, and strength.
Intermediate Program at the Gym Phase III. 3rd 6 weeks $ 35
* This is an 8 week program focused on general conditioning, building your endurance, and strength.
Senior Cardio Programs
Senior Strength Training
Youth Cardio Programs
Youth Stretch & Play Programs
6 Week Basham™ Abs, Butt, & Thigh Buster Program $ 150
6 Week Ladies Sleek Soft Cut & Defined Arms Program $ 62
12 Week Strength Training / Body Sculpting Program $ 150
Step 2: Provide Your Contact Information
*Required Fields in this section must be completed to confirm registration.
Mr. Mrs.
* First Name: * Last Name:
Company: Job Title:
* Address: * State/Province: * Zip/Postal Code:
* Country: * Telephone: Cellphone:
Fax: * Email Address: Website:
Step 3: Registrant Survey
Check here to receive program updates and/or product info from Basham by email.
Check here for more information about Personal Training.
Check here for more information about Nutrition.
Check here for more information about Healthy Shopping & Savings.
How did you learn about this event?
Email Friend Fitness Club
Website Vendor Fitness Equipment Store
Flyer Medical Professional Other
Step 4: Provide Payment Information
*ALL Fields in this section must be completed to confirm registration.
* Credit Card (Select One):
* Card Holder´s Name:
* Card Number:
* Expiration Date:
* 3 Digit Code:
Step 5: Confirm and Submit Form
Be sure all required fields (*) are completed!
Failure to complete them will result in the loss of all data entered after you click submit. Please double-check all fields before submitting this form!
Acceptance: As a client, invitee, or guest of Basham Management & Associates, Inc. I intend to and will engage in physical activities. I assume and accept full responsibility for any and all injuries or damages that may occur to myself and any member of my family, including children, or the property of any member of my family, in or about the Facilities and forever fully release, remise, indemnify, and agree to defend and hold harmless Basham Management & Associates, Inc., Trainers, and all contracted vendors (hereafter referred to as the “Participating Parties”); these terms include the Participating Parties’ owners, employees, agents and assigns from any and all causes of actions, costs, damages, expenses, and liability whatsoever. By signing below, I accept the terms outlined above and represent that I am in good physical condition and that I have no impairment or ailment that would prevent or make it medically unwise for me to engage in physical activities. Participants must be 18 years of age or older. By signing below, I understand and accept full responsibility.
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