FITNESS · CONTACT FORM TEMPLATE

Gym Membership Inquiry Form

Someone who fills out a gym inquiry form has already decided to join somewhere — the only question is which gym calls back first. This form captures goals and schedule so your front desk books the tour on the first call.

Get free access key Copy the code

500/mo free·no card·works on any host

form.htmlhtml60 lines

01<form action="https://splitforms.com/api/submit" method="POST">
02  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
03  <input type="hidden" name="subject" value="New trainer trial request">
04 
05  <label for="name">Full name *</label>
06  <input id="name" type="text" name="name" placeholder="Hans Becker" required>
07  <label for="email">Email *</label>
08  <input id="email" type="email" name="email" placeholder="hans@example.com" required>
09  <label for="phone">Phone *</label>
10  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
11  <label for="goal">Primary goal *</label>
12  <select id="goal" name="goal" required>
13    <option value="">Choose…</option>
14    <option>Lose weight</option>
15    <option>Build muscle</option>
16    <option>Get stronger</option>
17    <option>Improve endurance</option>
18    <option>Sport-specific</option>
19    <option>Rehab / mobility</option>
20    <option>General health</option>
21  </select>
22  <label for="experience">Training experience *</label>
23  <select id="experience" name="experience" required>
24    <option value="">Choose…</option>
25    <option>Total beginner</option>
26    <option>Some experience</option>
27    <option>Trained consistently before</option>
28    <option>Currently active</option>
29  </select>
30  <label for="frequency">Sessions per week you can commit to</label>
31  <select id="frequency" name="frequency">
32    <option value="">Choose…</option>
33    <option>1</option>
34    <option>2</option>
35    <option>3</option>
36    <option>4</option>
37    <option>5+</option>
38  </select>
39  <label for="schedule">Best time to train</label>
40  <select id="schedule" name="schedule">
41    <option value="">Choose…</option>
42    <option>Early morning</option>
43    <option>Morning</option>
44    <option>Midday</option>
45    <option>Afternoon</option>
46    <option>Evening</option>
47    <option>Weekend</option>
48  </select>
49  <label for="injuries">Injuries or conditions</label>
50  <textarea id="injuries" name="injuries" placeholder="Anything we should program around."></textarea>
51 
52  <!-- honeypot — bots fill every field -->
53  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
54 
55  <button type="submit">Send</button>
56</form>
57 
58<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
59  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
60</p>

500

submissions / mo, free

fields, ready to ship

code outputs

60s

from copy to inbox

§ 01Why it mattersthe qualifying-fields argument

Gym leads are perishable — industry data says a membership inquiry not contacted within 24 hours is usually lost to the gym down the street. The form needs more than name and email: primary goal, training experience, and the time of day they can actually show up. With those three fields your front desk opens the callback with 'so you're looking to build strength and you train mornings' instead of a cold pitch, and books the tour or trial session on the spot.

Webhooks into Mindbody / Glofox / PushPress via Zapier — lead to tour in one call.

✦ at a glance

→Personal trainer free trial · 8 fields
→HTML, JS, React, PHP, cURL outputs
→One POST endpoint, no SDK
→Honeypot + classifier, no CAPTCHA

§ 02Live previewinteractive · sandboxed · no key required

See exactly what your visitors see — and you’ll receive.

Left: the rendered form, fully interactive in a sandboxed iframe. Right: the email and dashboard view that lands the moment a visitor submits.

preview · gym-contact-formlocalhost:3000

✦ what you’ll see in your inbox

Every submission becomes an email plus a dashboard row. The fields below are the exact payload your form will send. Reply-to is wired to the visitor’s email so hitting reply goes back to them.

dashboard · new submission14ms · 200 OK

SUBJECT · New trainer trial request

Full name: Maya Iyer
Email: maya@studio71.co
Phone: +1 415 555 0142
Primary goal: Lose weight
Training experience: Total beginner
Sessions per week you can commit to: 1
Best time to train: Early morning
Injuries or conditions: —

Iframe is sandboxed — submit doesn’t actually fire. Get your access key to wire it up live.

§ 03Three steps3 steps · ~60 seconds

Generate, embed, receive.

Three actions stand between you and your first lead. None of them require a backend, a database, or a CAPTCHA library.

STEP 01GENERATE

Put the form on your trial / membership page

The highest-intent pages on a gym site are /membership and /free-trial. Same form on both, with a hidden 'source' field so you know which page converted.

Create your form

key=sk_live_••••••••

STEP 02EMBED

Capture goal and schedule

Required: primary goal, experience level, best time to train. Optional: sessions per week and injuries. Those fields shape the tour — show the lifter the racks, not the spin studio.

snippethtml

<form action="https://splitforms.com/api/submit" method="POST">
  …
</form>

STEP 03RECEIVE

Call back same day

Webhook the submission to your front-desk Slack or a Twilio SMS so whoever's on shift sees it live. Gyms that respond within an hour convert inquiries at 2-3x the rate of next-day callbacks.

inbox · 1 newjust now

FROM contact@yoursite.com

New trainer trial request

Maya Iyer maya@studio71.co

Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

§ 04Copy & ship5 languages · same endpoint

Five outputs. One backend.

HTML by default. Click open the language you ship in — every variant POSTs to the same /api/submit endpoint.

01HTMLform.html60 lines

<form action="https://splitforms.com/api/submit" method="POST">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New trainer trial request">

  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Hans Becker" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="hans@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="goal">Primary goal *</label>
  <select id="goal" name="goal" required>
    <option value="">Choose…</option>
    <option>Lose weight</option>
    <option>Build muscle</option>
    <option>Get stronger</option>
    <option>Improve endurance</option>
    <option>Sport-specific</option>
    <option>Rehab / mobility</option>
    <option>General health</option>
  </select>
  <label for="experience">Training experience *</label>
  <select id="experience" name="experience" required>
    <option value="">Choose…</option>
    <option>Total beginner</option>
    <option>Some experience</option>
    <option>Trained consistently before</option>
    <option>Currently active</option>
  </select>
  <label for="frequency">Sessions per week you can commit to</label>
  <select id="frequency" name="frequency">
    <option value="">Choose…</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="schedule">Best time to train</label>
  <select id="schedule" name="schedule">
    <option value="">Choose…</option>
    <option>Early morning</option>
    <option>Morning</option>
    <option>Midday</option>
    <option>Afternoon</option>
    <option>Evening</option>
    <option>Weekend</option>
  </select>
  <label for="injuries">Injuries or conditions</label>
  <textarea id="injuries" name="injuries" placeholder="Anything we should program around."></textarea>

  <!-- honeypot — bots fill every field -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

02JavaScriptform.js76 lines

<form id="lf-form">
  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Hans Becker" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="hans@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="goal">Primary goal *</label>
  <select id="goal" name="goal" required>
    <option value="">Choose…</option>
    <option>Lose weight</option>
    <option>Build muscle</option>
    <option>Get stronger</option>
    <option>Improve endurance</option>
    <option>Sport-specific</option>
    <option>Rehab / mobility</option>
    <option>General health</option>
  </select>
  <label for="experience">Training experience *</label>
  <select id="experience" name="experience" required>
    <option value="">Choose…</option>
    <option>Total beginner</option>
    <option>Some experience</option>
    <option>Trained consistently before</option>
    <option>Currently active</option>
  </select>
  <label for="frequency">Sessions per week you can commit to</label>
  <select id="frequency" name="frequency">
    <option value="">Choose…</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="schedule">Best time to train</label>
  <select id="schedule" name="schedule">
    <option value="">Choose…</option>
    <option>Early morning</option>
    <option>Morning</option>
    <option>Midday</option>
    <option>Afternoon</option>
    <option>Evening</option>
    <option>Weekend</option>
  </select>
  <label for="injuries">Injuries or conditions</label>
  <textarea id="injuries" name="injuries" placeholder="Anything we should program around."></textarea>
  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

<script>
  document.getElementById('lf-form').addEventListener('submit', async (e) => {
    e.preventDefault();
    const data = new FormData(e.target);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New trainer trial request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success) {
      e.target.reset();
      alert('Sent!');
    } else {
      alert('Error: ' + (json.message || 'Try again'));
    }
  });
</script>

03React / Next.jsForm.tsx91 lines

'use client';

import { useState, type FormEvent } from 'react';

export default function PersonalTrainerForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    const data = new FormData(e.currentTarget);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New trainer trial request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) e.currentTarget.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <>
    <form onSubmit={onSubmit}>
      <label htmlFor="name">Full name *</label>
      <input id="name" type="text" name="name" placeholder="Hans Becker" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="hans@example.com" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required />
      <label htmlFor="goal">Primary goal *</label>
      <select id="goal" name="goal" required>
        <option value="">Choose…</option>
        <option>Lose weight</option>
        <option>Build muscle</option>
        <option>Get stronger</option>
        <option>Improve endurance</option>
        <option>Sport-specific</option>
        <option>Rehab / mobility</option>
        <option>General health</option>
      </select>
      <label htmlFor="experience">Training experience *</label>
      <select id="experience" name="experience" required>
        <option value="">Choose…</option>
        <option>Total beginner</option>
        <option>Some experience</option>
        <option>Trained consistently before</option>
        <option>Currently active</option>
      </select>
      <label htmlFor="frequency">Sessions per week you can commit to</label>
      <select id="frequency" name="frequency">
        <option value="">Choose…</option>
        <option>1</option>
        <option>2</option>
        <option>3</option>
        <option>4</option>
        <option>5+</option>
      </select>
      <label htmlFor="schedule">Best time to train</label>
      <select id="schedule" name="schedule">
        <option value="">Choose…</option>
        <option>Early morning</option>
        <option>Morning</option>
        <option>Midday</option>
        <option>Afternoon</option>
        <option>Evening</option>
        <option>Weekend</option>
      </select>
      <label htmlFor="injuries">Injuries or conditions</label>
      <textarea id="injuries" name="injuries" placeholder="Anything we should program around." />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>

      <p style={{ marginTop: 12, fontSize: 11, color: '#888', textAlign: 'right' }}>
        Powered by <a href="https://splitforms.com" target="_blank" rel="noopener" style={{ color: '#888', textDecoration: 'none' }}>splitforms</a>
      </p>
    </>
  );
}

04PHPsubmit.php28 lines

<?php
// Drop into a PHP page. Receives a form POST and proxies it to splitforms.com.
// Useful when you want to add server-side validation or rate limiting.

if ($_SERVER['REQUEST_METHOD'] === 'POST') {
    $allowed = ['name', 'email', 'phone', 'goal', 'experience', 'frequency', 'schedule', 'injuries'];
    $payload = ['access_key' => 'YOUR_ACCESS_KEY'];
    $payload['subject'] = 'New trainer trial request';

    foreach ($allowed as $f) {
        if (isset($_POST[$f])) $payload[$f] = $_POST[$f];
    }

    $ch = curl_init('https://splitforms.com/api/submit');
    curl_setopt($ch, CURLOPT_POST, true);
    curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($payload));
    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
    curl_setopt($ch, CURLOPT_HTTPHEADER, ['Accept: application/json']);
    $response = curl_exec($ch);
    $status   = curl_getinfo($ch, CURLINFO_HTTP_CODE);
    curl_close($ch);

    header('Content-Type: application/json');
    http_response_code($status);
    echo $response;
    exit;
}
?>

05cURLtest.sh12 lines

curl -X POST https://splitforms.com/api/submit \
  -H "Accept: application/json" \
  -d "access_key=YOUR_ACCESS_KEY" \
  -d "subject=New trainer trial request" \
  -d "name=Jane Builder" \
  -d "email=jane@example.com" \
  -d "phone=+15555555555" \
  -d "goal=Lose weight" \
  -d "experience=Total beginner" \
  -d "frequency=1" \
  -d "schedule=Early morning" \
  -d "injuries=Hello from cURL"

Replace YOUR_ACCESS_KEY with the key from your dashboard. That’s the only edit.

§ 04bUse this template with…25 frameworks · same backend

One template. Every framework.

The same field set works on every framework splitforms supports. HTML, React, Next.js, Vue, Astro, Hugo, WordPress — same POST, same backend.

§ 06FAQ5 answered

Things people ask before they ship.

Direct answers, no marketing fluff. Missing one? Email hello@splitforms.com.

01Should I offer a free trial or a tour on the form?

Both — make it a dropdown. Trial-seekers are further along than tour-bookers, but either one in your inbox beats an anonymous visit. The follow-up script differs: trial leads get a booked session time; tour leads get a 'come in any time before 8pm' invite.

02Can this feed my gym management software (Mindbody, Glofox, PushPress)?

Yes — splitforms webhooks the submission as JSON. Mindbody, Glofox, PushPress, and Wodify all accept inbound leads via Zapier or their own APIs. The lead lands with goal and schedule pre-filled, ready for the membership pipeline.

03How do I handle class-based gyms (CrossFit, F45) vs open-floor gyms?

Swap the schedule field for a 'which class time works?' dropdown listing your actual class slots. Class-based gyms convert by getting the lead into one specific WOD, not a generic tour — the form should book that first class.

04What about pricing questions on the form?

Don't list prices in the form, but do add a 'what matters most to you?' field with a 'budget' option. Leads who pick budget get the value pitch on the callback; leads who pick coaching or equipment get a different script. The form sorts your sales conversation before it starts.

05Do gym leads really fill out forms instead of walking in?

Increasingly yes — most members research online first, and after-hours inquiries (evening scrolling) can't walk in. The form captures the 9pm 'new year, new me' moment that a closed front desk would otherwise lose.

✻ ✻ ✻

Ship your gym membership inquiry form in 60 seconds.

500 free submissions per month. No credit card. Copy the snippet, paste your access key, watch leads land in your dashboard.

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