Sport and Wellness Personal Training Consultation Form

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A trainer will be matched to you based on your responses and will reach out via email to book your consultation appointment. Please note that it may take up to 7 business days for consultations to be scheduled.

Full name *

Phone *

e.g. xxx-xxx-xxxx

Email *

Your pronouns (eg. She/Her, He/Him, They/Them, Ze/Zir, etc.) *

What type of service are you seeking? (Select all that apply). *

Program Design (Single Session)

Weekly Personal Training Ongoing

Monthly Personal Training Ongoing

30 minute sessions

60 minute sessions

Unsure

Required

Are you: *

MacEwan University Student

MacEwan University Employee

Current MacEwan Sport and Wellness Member

Public

Do you have two (2) or more diagnosed chronic or uncontrolled health conditions?

*Why do we ask this? Our facility follows CSEP-Canada Training Guidelines with CPT and CEP certified Exercise Specialists. CEP certification is required for any client with multiple conditions. *

Yes

Unsure

Preferred fitness coaching *

In-person training

Virtual coaching

Both

What is your training availability (days/times)? Please provide ALL possible availability in detail.

*High demand time slots (early mornings, after work) may be unavailable - there is currently no availability for new ongoing clients between 5-8 p.m. weekdays.* *

Are you purchasing sessions through Access to Learning Funds (staff and faculty only) *We suggest you meet with a trainer prior to requesting funds. See Access to Learning information under Professional Development for eligibility*

Yes

Clear selection

Add any other details here (specific training goals, preferred trainer if you have one, session is part of Sidekick Six, etc.).

Protection of Privacy

Your personal information is being collected under the authority of Alberta’s Freedom of Information and Protection of Privacy Act (FOIP Act), section 33(c), and is protected under Part 2 of the FOIP Act. It may be used for the purpose of facilitating your personal training inquiry. For more information, contact MacEwan University’s Lead, Information Management and Privacy by email at privacy@macewan.ca or by phone at (780) 492-5423.

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