Intake Form - Student Trainer Program

PERSONAL TRAINING AT TWU

New Client Intake Form
Welcome to the TWU Student Trainer Program! This program gives aspiring personal trainers at TWU the opportunity for real experience under the guided hand of experienced personal trainers. Our student trainers have extensive education through the TWU School of Human Kinetics and additional training through the Student Trainer Program to prepare them to give you the best possible training experience. In addition, each student trainer has a mentor who is certified personal trainer who will assist with your program as needed. When it comes to offering personal training, we make every effort to provide opportunities for our student trainers so we will assign you with a student trainer who is the best match for you. However, in some extenuating circumstances, we do have the ability the connect you with a certified personal trainer. If you feel that is you, please let us know.
Welcome to Personal Training at Trinity Western University!

Once you fill out this form, you will hear from someone within 48 hours to talk to you about your next steps.

Thank you for your interest and we look forward to hearing from you.
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Birth date
TWU Affliation
If TWU Affiliation is other, please explain
Best way to be contacted
Are you part of the Dynamic Health Program?

Yes No
The information that you provide is strictly confiential and is designed to match you up with a trainer that best meets your needs.

PERSONAL TRAINING AT TWU

Questionnaire

Medical History

What are your preferred training times?

Goals and Objectives