Personal Training Services Interest Form

Thank you for your interest in utilizing the Department of Fitness and Recreation for your personal fitness needs. We are excited to connect you with one of our student trainers who will provide you with personalized fitness resources to progress you toward your goals.

We have three services to choose from. Please review them below!

Personal Training: For those who want a personalized fitness program and the accountability that comes with one-on-one sessions with a personal trainer or small group training packages that allow groups of two to four people to train together. This service is great for beginners and experienced exercisers alike. These packages vary in duration (30-minutes or 60-minutes) and the number of sessions (5-30 sessions). I understand that my personal training sessions expire 6-months after the purchase date of the package unless written approval has been granted by a member of the FitRec Professional Staff.

Program Development: For those who want a personalized fitness program but don't require one-on-one accountability. This incredible programming opportunity will include an onboarding session where clients will discuss their training experience and goals with a trainer. The trainer will then write the client a four-week training program and assign it to them. Once they receive a program, the trainer will check in with the client to ensure they have received the program and are comfortable with the prescribed exercises.

Fitness Assessment: For those that want a quantifiable way to track their progress throughout an exercise program. During a fitness assessment, a certified personal trainer will calculate body mass index (BMI), body fat percentage, resting heart rate, blood pressure, and body measurements. In addition to these basic tests, patrons will be able to perform other tests that calculate factors such as muscular strength, muscular endurance, or cardiovascular endurance.

Please choose the option below that best represents your interest in personal training services.

I am ready to begin utilizing services offered by personal training.I have questions about personal training and need more information before committing.

Which Personal Training Service are you interested in utilizing?*

Personal TrainingProgram DesignFitness Assessment

Name:*

First NameLast Name

BUID:*

Age:*

Gender:*

MaleFemalePrefer not to answer

E-mail:*

Phone Number:*

Area CodePhone Number

Referred by?

Please let us know what questions or concerns you have about personal training. Once we receive this information, a member of our staff will contact you with the desired information.

At FitRec, we strive to make your personal training experience uniquely tailored to your individual needs. Our process begins with understanding your specific goals and aspirations, but we also take into account other important factors such as your schedule and preferred training environment.

We recognize that the time of day you work out can significantly impact your routine and success. That's why we want to ensure your training sessions fit seamlessly into your daily life. Additionally, we aim to match you with a trainer who not only aligns with your fitness objectives but also suits your comfort level and preferred training atmosphere.

The information you provide below will help us in pairing you with the right trainer and designing a personalized program that makes the best use of our various training locations. Whether you prefer the bustling energy of the Beaman Center Weight Room, the more intimate setting of Caldwell Hall Weight Room, or the dynamic environment of our Group Fitness Room, we are here to support you every step of the way.

Have you ever had a personal trainer before?*

YesNo

What type of exerciser are you?*

First time exerciser (never or rarely exercise)Start stopper (occasionally workout, have some exercise experience)Regular exerciser (consistently workout)

Trainer Gender preference:*

MaleFemaleNo Preference

How many times per week would you like to train with a FitRec trainer?*

123

What duration of sessions are you interested in?*

Half Hour (30-minute)Full Hour (60-minute)

What is the primary goal you hope to accomplish through this training experience?*

Special Needs (heart problems, recent injury, limitations, medications, etc.):*

At FitRec, we have 3 locations where we primarily train clients. Please chose the location(s) you are most comfortable training in.*

Beaman Center Weight Room - A traditional weight room equipped with various strength machines and equipment. Note that it can become crowded and congested during peak hours in the afternoon and evenings.Caldwell Hall Weight Room - Similar to the Beaman Center Weight Room in terms of available equipment, but it is much smaller in size, offering a more intimate setting.Group Fitness Room - Primarily used for group fitness classes such as spin, yoga, and Pilates, this room is an excellent alternative for those who prefer a non-traditional weightroom environment.

Please chose the days of the week that are best for you to train and then indicate the block of time you are available each day. If you are available part of the time in each block, please chose both blocks.*

Monday

	Available Times
Early Morning (6 AM - 9 AM)
Mid Morning (9 AM - 11 AM)
Lunch Time (11 AM - 1 PM)
Mid Afternoon (1 PM - 3 PM)
Late Afternoon (3 PM - 5 PM)
Early Evening (5 PM - 7 PM)
Late Evening (7 PM - 9 PM)
Late Night (9 PM - 11 PM)

Tuesday

	Available Times
Early Morning (6 AM - 9 AM)
Mid Morning (9 AM - 11 AM)
Lunch Time (11 AM - 1 PM)
Mid Afternoon (1 PM - 3 PM)
Late Afternoon (3 PM - 5 PM)
Early Evening (5 PM - 7 PM)
Late Evening (7 PM - 9 PM)
Late Night (9 PM - 11 PM)

Wednesday

	Available Times
Early Morning (6 AM - 9 AM)
Mid Morning (9 AM - 11 AM)
Lunch Time (11 AM - 1 PM)
Mid Afternoon (1 PM - 3 PM)
Late Afternoon (3 PM - 5 PM)
Early Evening (5 PM - 7 PM)
Late Evening (7 PM - 9 PM)
Late Night (9 PM - 11 PM)

Thursday

	Available Times
Early Morning (6 AM - 9 AM)
Mid Morning (9 AM - 11 AM)
Lunch Time (11 AM - 1 PM)
Mid Afternoon (1 PM - 3 PM)
Late Afternoon (3 PM - 5 PM)
Early Evening (5 PM - 7 PM)
Late Evening (7 PM - 9 PM)
Late Night (9 PM - 11 PM)

Friday

	Available Times
Early Morning (6 AM - 9 AM)
Mid Morning (9 AM - 11 AM)
Lunch Time (11 AM - 1 PM)
Mid Afternoon (1 PM - 3 PM)
Late Afternoon (3 PM - 5 PM)
Early Evening (5 PM - 7 PM)
Late Evening (7 PM - 9 PM)
Late Night (9 PM - 11 PM)

Additional comments (If interested in Small Group Training, please list the names of your group members in this space):

Once you have submitted the forms below, we will begin to identify a trainer on staff to pair with you. In doing this we will take a look at your goals to make sure the trainer has the experience to help you meet them, availability that matches what you put on the interest form, and any other personal preferences.

Medical Clearance Form – Sometimes referred to as a Par-Q (Physical Activity Readiness Questionnaire): it is to make sure that the client is ready to engage in the workout and does not have any conditions that would need to be addressed by a doctor or specialist.

Personal Training Release – This is your standard liability form that must be completed prior to a client beginning their workout program. If you have any questions about anything on here, let me know.

If you have any questions, or need clarification on anything discussed above, do not hesitate to reach out to Lindsay Graham at lindsay.graham@bruins.belmont.edu. We look forward to working with you and helping you achieve your health and fitness goals!

Please verify that you are human*

Personal Training Services Interest Form

Personal Training Forms