FIU-MMC Personal 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 Lindsey Meeks at (
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.
Yes, I intend to pay for personal training.
Name (First & Last)
Prefer not to say
Panther ID #
Date of Birth (mm/dd/year)
Please select the category that best describes your current FIU status
Alumni/Retired Faculty or Staff
Please select the Personal Training Services you are interested in
1:1 Individual Personal Training
Partner Training (please include the contact info for your partner)
How many days per week would you like to work with your trainer?
I prefer my trainer to be:
Are you a returning Personal Training Client?
I've worked with a PantherFit Personal Trainer at FIU-MMC before.
I'm new to this program, but I've worked with a personal trainer in the past.
I'm completely new to personal training.
How can a Personal Trainer help you?
Lose Body Fat
Sport specific training
Develop muscle definition
Start/develop a regular exercise program
Advance a current exercise program
Please list any prior medical conditions, questions, comments or concerns you may have about working with a personal trainer.
Please list ideal times you would like to meet with your personal trainer (such as Monday before 8am or Tuesday after 6pm)
If you have a preferred personal trainer, please list their name below.
By submitting this form, I agree that I have reviewed the personal training prices and am interested in purchasing personal training services.
Yes, I am interested in purchasing personal training services at the FIU-MMC Wellness & Recreation Center.
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