Trainer Request Form

Thank you for your interest in personal training at the FIU-MMC Wellness and Recreation Center! While campus remains closed, our personal training services will be moving to an online format.

Please submit this form in its entirety. If you have questions about personal training, please contact wrcfitness@fiu.edu.
Prior to completing the rest of this form; please acknowledge below that you recognize this is to request a personal trainer, which is a paid service through FIU WRC. *

Prior to completing the rest of this form; please acknowledge below that you recognize this is to request a personal trainer, which is a paid service through FIU WRC. I intend to pay for personal training.
Name Name * First Last
Email Address *
Phone Number *
Gender *

Gender Female Male Prefer not to say
Panther ID *
Date of Birth Date of Birth * / MM / DD YYYY
How many days per week do you plan to exercise? *
How are you interested in working with one of our personal trainers? *

How are you interested in working with one of our personal trainers? Exclusively virtual via zoom personal training [Note: All virtual sessions will be recorded by the trainer for liability purposes but will not be shared or published online.] In-person [Note: Valid WRC membership is required to utilize in-person training services] I would just like to receive a workout plan that I can complete independently on my own, without meeting regularly with a trainer Undecided
Please provide your availability to train below
(e.g. Tuesdays and Thursdays from 4pm-7pm)
To speed up the administrative process and get you working with a trainer faster, please take the time to fill out and upload a few forms for your records. These forms can be found in the "Required Paperwork" section of our website which you can access using the link below.

https://studentaffairs.fiu.edu/health-and-fitness/recreation/mmc/personal-training/index.php

These forms include information about your current habits, health history, readiness for exercise, and consent to activity.
Get Active Questionnaire *

Attach Files
Health History Questionnaire *

Attach Files
Informed Consent *

Attach Files