Personal Training Registration Form

Personal Training Registration Form

Thank you for showing interest in our Campus Recreation Personal Training Program. The demographic information collected on this form is a means to ensure that we can accurately evaluate our program to ensure that we are marketing effectively to potential clientele. Once completed and submitted a personal trainer will be in contact within 7 business days to set-up an initial meeting to discuss your package options and session schedule. At this meeting you will be asked to fill out a health history form and waiver. This initial meeting will not count as one of your sessions purchased. If you have any questions prior to filling out the Request a Trainer form, please contact Kia Williams at kwilli@illinois.edu.

Due to an influx of clients, there is currently a waiting list.  It may take more than 7 business days to get back with you.

answer must be date like mm/dd/yyyy

  start datechoose a start date

 

required3. Gender:

required3. Gender:

answer must be date like mm/dd/yyyy

  start datechoose a start date

required5. Ethnicity:

required5. Ethnicity:

Please provide street address, city, state, zip

Please provide street address, city, state, zip

 

answer must be phone number with area code like 217-333-1000

 

answer must be an email address

 

 

required11. Preferred Location To Train:

required11. Preferred Location To Train:

13. PT Offering Preference: (Select personal training offerings that you are interested in purchasing)

13. PT Offering Preference: (Select personal training offerings that you are interested in purchasing)

answer must be numeric

16. If you are a student, are you a

16. If you are a student, are you a

17. How did you hear about Campus Rec Personal Training? (Check all that apply)

17. How did you hear about Campus Rec Personal Training? (Check all that apply)

Include your email address in your submission to:

  • Get a copy of your answers

Thank you for filling out this form to request a trainer.  Please note that at this time we have a very high influx of personal training requests. We have started a waiting list and will reach out to you as soon as a trainer becomes available to take on more clients.  Thank you for your patience.