Beach Cities Health District
Center for Health & Fitness
Adventure Plex

Skip to main content

About
News

Membership
Program & Services
Calendar

Font ResizeA A A

PrintCreate PDF

Contact Information

If you are interested in learning more about the WellBeing Weight Management Program or a Nutrition Assessment, please fill the form below. CHF's registered dietition will contact you shortly.

Contact Information

First Name: *

Last Name: *

Phone Number: *

Email: *

What is the best time to contact you?: Example: 3:00 - 5:00pm

General Information

Please select your primary health and fitness goals:

Lose weight/body fat

Build muscle

Disease management (arthritis, diabetes, etc.)

Diet

Other

Do you have any of the following health considerations:

Diabetes

High blood-pressure

Heart disease/previous heart attack

High cholesterol

Other

Other comments or questions:

How did you first learn about CHF's WellBeing and Nutrition programs: *

Mailer

Handout or signage at CHF

www.beachcitiesgym.org

Referral

Advertisement

Online/search engine

Other

(If other, please explain below):

© Center for Health and Fitness
|
Sitemap

514 N. Prospect Avenue, Redondo Beach, CA 90277 (310) 374-3426 • Maps & Directions