Recreational Services Student Personal Training Request Form You must have JavaScript enabled to use this form. Full Name: First Name Last Name Cornell Net ID: Pronouns: e-mail address: Phone Number: Preferred Contact Method e-mail phone Please check Cornell Affiliation Undergraduate Student Graduate Student Student Spouse/Partner Do you have a fitness center membership? Yes No Not yet waiting to see if I can be matched with a trainer before purchasing a membership. Which method of payment will you be using for services? Bursar is the easiest and preferred method. Bursar Credit/Debit Card Visa, MasterCard, American Express & Discover accepted. Please list in order of preference all possible day(s) and time(s) you can be available to meet with a trainer. How many personal training sessions are you interested in? Do you prefer a female or male trainer? Female Male No Preference Do you currently exercise for a total of 150 minutes per week (including walking?) Yes No Not sure How would you describe your current fitness level? Anything else you would like us to know? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
