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Personal Training Request For MCC Fitness Center Members
Thank you for your interest in personal training at the MCC Fitness Centers.
Our plementary Personal Training Program is offered to fitness center members.
Personal training is available during fitness center operating hours based on trainer availability.
Training sessions are provided by certified trainers and/or qualified student interns of Mesa Community College's Exercise Science Department.
This service is offered at no cost to current fitness center members and students enrolled in PED101FL, PED103FL, or PED115 (Fitness for Life). Our requests are currently open, and all training will begin the week of August 24th.
An active MCC Fitness Center membership is required to participate in personal training. We offer a variety of membership options—visit the MCC Fitness Center website for membership information. Non-members may request private personal training services for a fee.
To get started, please complete and submit the request form below. Once your request has been received , please allow up to one week for our manager to review your information.
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Rupesh
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First name
First name
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Last Name
Last Name
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Please check one of the following that applies to you
Please check one of the following that applies to you
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MCC Student
MCC Employee
Community Member
PED Student
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Email:
Email:
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Phone Number:
Phone Number:
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Preferred way of contact?
Preferred way of contact?
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Which MCC Fitness Center would you like to be trained?
Which MCC Fitness Center would you like to be trained?
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Southern & Dobson Campus
Red Mountain Campus
Both
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What length of session do you prefer?
What length of session do you prefer?
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30-minute (option for SD and RM)
45-minute (option for SD only)
60-minute (option for SD only)
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Preferred Day(s) for Training
Preferred Day(s) for Training
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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Prefered Time for Training:
Prefered Time for Training:
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How many days a week will you commit to personal training?
How many days a week will you commit to personal training?
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1 day a week
2 days a week
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What are your primary goals for personal training?
What are your primary goals for personal training?
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Improve Cardiovascular Endurance
Muscular Strength
Flexibility/Mobility
General Health/Fitness
Sport Specific Training
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If you are a returning client, please type the name of your trainer.
If you are a returning client, please type the name of your trainer.
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By completing this form, you acknowledge that your request for personal training will begin to be processed. Please allow up to one week for the MCC Fitness Center to review your request. A personal trainer will contact you using your method of communication provided.
By completing this form, you acknowledge that your request for personal training will begin to be processed. Please allow up to one week for the MCC Fitness Center to review your request. A personal trainer will contact you using your method of communication provided.
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Yes
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Personal Training Acknowledgment and Agreement
Please review the following statements carefully and indicate your acknowledgment by selecting each item.
Personal Training Acknowledgment and Agreement
Please review the following statements carefully and indicate your acknowledgment by selecting each item.
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Prior to beginning a personal training program, I am required to complete a client intake form.
I agree to comply with all MCC Fitness Center expectations, policies, and procedures.
I understand personal training is a free service and trainers have multiple responsibilities while on duty. This requires our trainers to multi-task, in this case you will be expected to train independently with direction.
I understand the personal trainer will refer clients to appropriate healthcare professionals when necessary.
I agree to evaluate my training session(s) at the end of each semester
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Please acknowledge you have read the fitness center expectations. The document you are acknowledging is required and linked below for your review.
Please acknowledge you have read the fitness center expectations. The document you are acknowledging is required and linked below for your review.
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I have read the fitness center expectations
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