Recreational Services Student Personal Training Request 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?
