Personal Training Registration - Returning Clients
General Info and Waiver
Name
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First Name
Last Name
Email
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example@example.com
R#
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Phone Number
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Area Code
Phone Number
Will you be needing a new trainer or are you renewing with your previous/current trainer?
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New Trainer
Previous/Current Trainer
Do you have a trainer in mind that you would like to work with?
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Which assessment do you prefer? (Only if purchasing online sessions)
Full Fitness Assessment (In Person) +$17
Virtual Assessment (Movement assessments only, included with purchase of any number of online sessions)
Package Information and Selection
Package Selection (expires after 1 semester)
5 Sessions $140
10 Sessions $280
15 Sessions $410
20 Sessions $530
Type initials to show understanding: The expiration policy requires that sessions be used within the Year (365 days after purchase)
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Type initials to show understanding: Refunds on personal training packages and sessions will not be issued at any time for any reason including but not limited to relocation, illness, and unused sessions. In case of major illness, providing a doctors note will warrant a refund.
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Client/Personal Trainer Agreement: This agreement ensures that the role of the trainer to client and client to trainer is clearly appreciated and understood. This agreement must be signed prior to beginning the training sessions. To keep this program running smoothly, we would like to outline the following client responsibilities: The training fee must be paid when filling out the Personal Training Registration Packet. This entitles the client to one hour long (60 minute) training sessions. Complete all forms in the packet provided and turn them into the Fitness/Wellness Center. Failure to do so may result in delayed initial consultation. These completed forms will be used in establishing your baseline and are entirely confidential. Be on time for meetings with your Personal Trainer. Sessions last only 60 minutes. If the client is late, the Personal Trainer must wait 15 minutes before leaving. If the client shows up within the 15 minute time block, continue the session as planned, ending 60 minutes after the planned start time.(i.e. if client shows up at 4:12pm and the session is scheduled for 4pm, the session will still end at 5pm). If a session needs to be canceled for any reason other than an emergency, a 24-hour notice must be given to the trainer. Failure to do so will result in the client forfeiting the session and no payment reimbursement will be granted. You must abide by all Student Recreation & Aquatic Center rules and regulations. No roll-over sessions or refunds will be granted, except for medical reasons, which must be endorsed by your physician. It is recommended that you bring a towel and water bottle (NO GLASS BOTTLES) to every session. If you have any questions feel free to contact the Graduate Assistant of Strength and Conditioning at (806) 834-0407.TRAINER RESPONSIBILITIES: A personal trainer provides Tech students, staff, faculty, alumni, and dependents with the motivation, education, guidance, and individual instruction required to achieve their personal fitness goals. The trainer will design a safe, effective exercise program on an individual basis that reflects the client’s objectives, fitness level, and experience. If the trainer is late for a session, that time is owed to the client at no additional charge. Once you have purchased a personal training package, your trainer will contact you within the next 2 business days by email. The trainer will maintain an open line of communication throughout the course of service. If there is a problem with a trainer’s customer service, the client should contact the Graduate Assistant of Strength and Conditioning at (806) 834-0407. By signing this agreement you indicate that YOU understand YOUR roles and will do your part to ensure the best results for the goals set.
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I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in the Recreational Sport’s Personal Training Program may cause injury, am voluntarily choosing to participate in the program. There are always certain risks associated with any physical activity. I understand these risks and declare myself physically sound and capable to participate in program offered through Texas Tech University Recreational Sports Office. The Personal Training Program is a program designed to guide me, safely and effectively, through an appropriate individualized fitness/exercise regime based on my initial fitness assessment and goal assessment. Following the completion of a health history form and possibly a doctor’s note and an initial consultation, I will be given an individual exercise program that focuses on increasing fitness to prepare me for normal activities of daily living. I realize that I have the option to discontinue any activity upon my own discretion. I also realize that all information obtained about myself through this program will be kept in strict confidence within the Personal Training Program. In making this activity available for your participation, Texas Tech University Recreational Sports Office assumes no responsibility for injury. The responsibility is assumed entirely by the participant. Participants should have adequate personal insurance coverage. “Having such knowledge, I do hereby release Texas Tech University, the State of Texas, the Board of Regents, employees and student employees of all liability related to injuries or accidents to myself which may occur as a result of participation in the Personal Training Program. I hereby assume all risks connected there with and consent to participate in the Personal Training Program.”
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Availability
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Early Morning (6am - 8 am)
Mid-Morning (8am-10am)
Late Morning (10am-12pm)
Early Afternoon (12:00pm-2:00pm)
Mid Afternoon(2:00pm-4:00pm)
Late Afternoon/Early Evening (4:00pm-7:00pm)
Beyond 7:00pm
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To purchase your sessions
You will still need to go into the FitWell office so you can receive the renewal price. Be sure you tell our front desk attendant you are renewing sessions with our program.
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