Personal Training Registration Form

Thank you for your interest in the Personal Training Program! Please provide answers to the questions listed below. This information will assist us in pairing you with a trainer that best fits your needs.

Name Name First Last
What do you prefer to be called?
Pronouns

Pronouns she/her/hers he/him/his they/them/theirs other other
SU/ESF ID number
Email
Phone number Phone number - ### - ### ####
Campus affiliation

Campus affiliation Syracuse University (SU) SUNY College of Environmental Science and Forestry (ESF)
I am a/n

I am a/n Undergraduate Student Graduate Student Faculty Member Staff Member Alumni Member Retired Member Spouse of Member Dependent Member
Do you have a preference of the gender of your trainer?

(We will do our best to pair you with a person matching your preference. Pairing to this preference is not guaranteed)

Do you have a preference of the gender of your trainer?

(We will do our best to pair you with a person matching your preference. Pairing to this preference is not guaranteed) Yes No
If yes, indicate your preference
Is there a specific trainer on the staff you would like to work with, if possible?
When are you consistently available to meet with your trainer in a week? Please indicate at least three days of the week and specific windows of time
Maximum of 200 characters allowed. Currently Entered: 0 characters.
What are your top three fitness goals to work toward?
Maximum of 200 characters allowed. Currently Entered: 0 characters.
Package of sessions that you plan to purchase

Do not purchase a package of sessions until it is confirmed that you are paired with a trainer and are instructed to do so

Personal training sessions expire one year from the date of purchase

If cost is a barrier to your participation in this activity, please email Evan Nolan - Personal Training Manager at enolan04@syr.edu to discuss reduced fee options

Package of sessions that you plan to purchase

Do not purchase a package of sessions until it is confirmed that you are paired with a trainer and are instructed to do so

Personal training sessions expire one year from the date of purchase

If cost is a barrier to your participation in this activity, please email Evan Nolan - Personal Training Manager at enolan04@syr.edu to discuss reduced fee options 5 session package (SU/ESF Student $105, Non-Student $135) 8 session package (SU/ESF Student $164, Non-Student $202) 12 session package (SU/ESF Student $240, Non-Student $288) 18 session package (SU/ESF Student $351, Non-Student $396)
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