Maui Powerhouse Gym

Aloha! Please fill out this form and you will be contacted by a trainer or staff member to set up your FREE training session with a trainer at Maui Powerhouse Gym.

Name *

First

Last

Age *

Weight (lbs)

Email *

Phone *

Preferred Contact Method *

• Phone Call
• Text Message
• Email

Which Best Describes Your Fitness Goals or Needs (Choose Any That Apply)

• Body Tone & Sculpt
• Weights/Strength Building
• Starting a Fitness Routing
• Need To Change Up Current Routine
• Weight Loss/Shred
• Senior Fitness
• Physical Therapy/Recovery

Days Available (Please Select More Than One)

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Time Slots Available

• Early Mornings (Before 8am)
• Mornings (8am - Noon)
• Afternoons (Noon - 5pm)
• Evenings (After 5pm)

Is There Anything Else We Should Know?

If there is anything we missed, please tell us here.

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