Personal Training Registration Form

Personal Training Registration Form

Thank you for showing interest in our Campus Recreation Personal Training Program. The demographic information collected on this form is a means to ensure that we can accurately evaluate our program to ensure that we are marketing effectively to potential clientele. Once a trainer is available to work with you, you will be contacted to discuss your package options and session schedule. At this meeting you will be asked to fill out a health history form and waiver. This initial meeting will not count as one of your sessions purchased. If you have any questions prior to filling out the Request a Trainer form, please contact Kia Williams at kwilli@illinois.edu.

answer must be date like mm/dd/yyyy

 

 

required3. Gender:

required3. Gender:

answer must be date like mm/dd/yyyy

 

required5. Ethnicity:

required5. Ethnicity:

Please provide street address, city, state, zip

Please provide street address, city, state, zip

 

answer must be phone number with area code like 217-333-1000

 

answer must be an email address

 

 

required11. Preferred Location To Train:

required11. Preferred Location To Train:

13. PT Offering Preference: (Select personal training offerings that you are interested in purchasing)

13. PT Offering Preference: (Select personal training offerings that you are interested in purchasing)

answer must be numeric

16. If you are a student, are you a

16. If you are a student, are you a

17. How did you hear about Campus Rec Personal Training? (Check all that apply)

17. How did you hear about Campus Rec Personal Training? (Check all that apply)

Include your email address in your submission to:

  • Get a copy of your answers

Thank you for filling out this form to request a trainer. We look forward to seeing you soon!