Personal Trainer Request Form

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Please complete this form to be matched with a trainer. If you have any questions about Personal Training, please contact Trevor Brazina, Personal Training Supervisor, at udcrpersonaltraining@udayton.edu

Email *

Record my email address with my response

First and Last Name *

Email *

Cell Phone # *

Preferred Contact Method *

Cell Phone (text/call)

Either

Are you a current Campus Recreation (RecPlex) member? Note: you must be an active Campus Recreation member to participate in personal training. *

Yes

No, but I will purchase a Recplex membership.

Age *

Gender *

Female

Male

Transgender

Non-Binary

Not Listed

Prefer not to answer

Trainer preference *

Male

Female

No preference

Name of preferred trainer (if applicable)

What is your preferred number of training sessions per week? We recommend working with a trainer at least once per week. Please see personal training rates here. *

Which WEEKDAY(s) & times are you available to train (check all that apply)?

6- 8am

8- 10am

10am- noon

Noon- 2pm

2- 4pm

4- 6pm

6- 8pm

8- 10pm

Monday

Tuesday

Wednesday

Thursday

Friday

Which WEEKEND day(s) & times are you available to train (check all that apply)?

9- 10am

10am- noon

Noon- 2pm

2- 4pm

4- 6pm

Saturday

Sunday

Area(s) of interest (select all that apply)

Weight Management (weight loss, weight gain, weight maintenance)

Muscle Building (hypertrophy, putting on muscle mass, etc.)

Learning to exercise, developing healthy habits, or getting back into exercise

Strength Training (weightlifting, plyometrics, resistance training, etc.)

Bodybuilding or Powerlifting Training

Sport or Competition Specific Training (marathon training, soccer, volleyball, football, etc.)

Cardiovascular Training (biking, running, HIIT, etc.)

Mindfulness and Other (yoga, pilates, etc.)

Flexibility, Stability, and Mobility Training

Health and active aging

Managing chronic illness and/or health related conditions

Improving mood, productivity, stress levels, etc.

Other:

What do you hope to get out of personal training? *

Please describe any physical limitations and or pertinent health conditions you may have that may impact your ability to exercise. If not applicable please write "N/A". *

Have you read through our personal training website and policies and pricing? Please click here to read. *

Yes

No, but I will

Is there anything else you'd like us to know?

Next steps, please read below.

Thank you for completing this form. We will attempt to match you with a certified personal trainer, and they will reach out via your preferred contact method. If we are able to match you with a trainer, you will then purchase sessions, and will participate in a fitness assessment. Please do not purchase sessions before getting matched with a trainer. To review our personal training policies and rates, please click here. If you have any questions, please reach out to our personal training supervisor at udcrpersonaltraining@udayton.edu . We hope to work with you soon!

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