Trainer Request Form

Thank you for your interest in personal training at the FIU-MMC Wellness and Recreation Center!
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.

Checking this box indicates that you understand and agree to abide by the personal training client cancellation policy. This policy entails that clients are required to provide their trainers with a minimum of 24 hours notice of non-emergency need to cancel or reschedule a scheduled personal training session. Failure to provide a minimum of 24 hours notice will result in loss of one session from the client's personal training package purchase for each instance of session absenteeism, or failure to cancel or reschedule with 24 hours notice. *

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.

Checking this box indicates that you understand and agree to abide by the personal training client cancellation policy. This policy entails that clients are required to provide their trainers with a minimum of 24 hours notice of non-emergency need to cancel or reschedule a scheduled personal training session. Failure to provide a minimum of 24 hours notice will result in loss of one session from the client's personal training package purchase for each instance of session absenteeism, or failure to cancel or reschedule with 24 hours notice. I intend to pay for personal training. And I understand and agree to the policy above.
Name Name * First Last
Email Address *
Phone Number *
For which campus are you requesting personal training services *

For which campus are you requesting personal training services MMC BBC Virtual
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 with a trainer? *
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) *
Do you have past experience with exercise? *

Do you have past experience with exercise? yes no
If yes, please specify your past experience (example: Sports, weight training, group fitness classes, etc.) *
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 located at the link below.

Once completed, please upload a photo of the completed forms to this submission.

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

https://drive.google.com/file/d/1l1hjbs7TQ7p68A97FwNT9Zzod4c1VH1c/view?usp=sharing

https://drive.google.com/file/d/1kN6A3NXmURYWgF2YDvljxZ9KVxYolrvm/view?usp=sharing

https://csep.ca/wp-content/uploads/2021/05/GETACTIVEQUESTIONNAIRE_ENG.pdf

https://drive.google.com/file/d/1d3PHSUhFZeCISBHWb8DOJIVG4cT6RCpW/view?usp=sharing
Get Active Questionnaire *

Attach Files
Health History Questionnaire *

Attach Files
Informed Consent *

Attach Files
Trainer-client agreement (trainer will sign his/ her portion at first assessment) *

Attach Files

Trainer Request Form

Trainer Request Form

Thank you for your interest in personal training at the FIU-MMC Wellness and Recreation Center! Please submit this form in its entirety. If you have questions about personal training, please contact wrcfitness@fiu.edu.

Thank you for your interest in personal training at the FIU-MMC Wellness and Recreation Center!
Please submit this form in its entirety. If you have questions about personal training, please contact wrcfitness@fiu.edu.