Personal Training Registration

My Information

Name

UO ID#

Please provide us with your UO 95#

Date of Birth

Please provide us with your date of birth.

Phone Number

Please provide us with a contact phone number

Please provide us with your contact email.

Gender Identity

Optional: If you would like to tell us your gender identity, please tell us how you identify.

How do you prefer to be contacted?

Text

Phone Call

Choose your package

All new personal training clients are required to begin with the initial training package.

Frequency

How many times per week do you want to meet with a trainer?

What days and times do you prefer?

Indicate your preferred times, but listing all times you are able to train will help expedite being matched with a trainer.

Do you have a specific trainer on staff you would like to work with or other staff requirements of your trainer?

Do you have any health concerns that may inhibit your training sessions?

If yes is checked, a follow up health history questionnaire will be sent to you that must be completed prior to training.

Please briefly explain your exercise history and current physical activity.

What are your primary reasons/goals/objectives for seeking a personal trainer?

Do you have any special needs?

Who referred you to this program?

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