Personal Training

Offered by IWU Students

▪ All skill levels welcome

 Provide the client with motivation and accountability.

 Provide resistance training instruction.

 Provide cardiovascular instruction.

 Provided workouts that are time efficient.

 Provide workouts that assist the client in achieving results.

Initial Assessment

The first appointment assesses your current fitness state, personal goals, and the motivation

level needed to be successful. May include body composition, flexibility, and muscular strength

and endurance testing

Approximately 20 minutes.

You and a Partner meet with trainer 2 days a week for 4 weeks ($150)

Package 100

You meet with the trainer 2 days a week for 4 weeks ($100)

Package 20

A workout session (approx 1.5 hours) to design a workout plan to meet your needs, with a follow

up visit one week later just to check on progress and answer any questions. ($20)

To schedule an appointment or check for availability call

IWU Campus Recreation

677-2448

begins.

MEMBER’S NAME ______________________________________________

(office only)

TOTAL PAID_____ WHEN __________

Check _______ Cash _______

REGISTERED IN EMPLOYEE WELLNESS PROGRAM ______

I, the participant, understand that the activities that take place in the IWU Recreation and Wellness Center are

hazardous activities. I also understand that the activities involved in the Personal Trainer Program offered by IWU

are hazardous activities. These activities include but are not limited to running, walking, jogging, lifting weights, using

exercise equipment, and other strenuous activities hereafter referred to as “Activities”. The hazards inherent to these

Activities include but are not limited to head and spinal injuries, slips and falls, cuts, concussions, strained muscles,

mental and emotional trauma, and other hazards.

I further understand that these Activities involve a risk of serious injury and even death and caution is required, and I

assume all risks inherent in said Activities. I am voluntarily participating in these Activities and using equipment and

machinery with full knowledge and understanding of the risks involved. I hereby assume and accept any and all risks

representatives hereby release, discharge, indemnify, and hold harmless IWU, its Board of Trustees, its officers,

trustees, agents, and employees from any and all claims, actions, suits, costs, expenses, injuries or damages arising

out of said Activities. I certify that I have adequate insurance to cover injury or damage I may cause or suffer while

participating in said Activities, or else I agree to bear the cost of such injury or damage myself. I further certify that I

am willing to assume the risk of any medical or physical condition I may have.

I hereby grant permission and authorize the provision of emergency medical treatment for myself while becoming ill

or injured in said Activities.

I confirm that I have resolved concerns, if any, about my health or ability to participate in or observe the Activities with

Name of Participant:______________________________________________ Date: _______________

(Please Print)

Signature of Participant: ________________________________Contact Information ________________

IWU CAMPUS RECREATION

PERSONAL TRAINING POLICIES

students, along with employee spouses that are part of the employee wellness program.

PROGRAM GOALS:

$10 without sessions

Package 150 ($150)

You and a Partner meet with trainer 2 days a week for 4 weeks

much time you spend doing each per week._____________________________________

If Yes, why? _____________________________________________________________

________________________________________________________________________

________________________________________________________________________

5. Specifically describe what you would like to accomplish through your fitness

Days per week _______

7. What types of exercise equipment have you used or would like to use?

Dumbbells □ □

Free Weights (plates) □ □

Weight Machines □ □

Cardiovascular Machines □ □

Body Weight Exercises □ □

Other (describe) __________________________________________________

___ Reshape or tone my body ___ Feel better

___ Improve performance for a specific sport ___ Enjoyment

___ Improve mood, decrease stress ___ Improve flexibility

___ Other _____________________

9. How many meals and/or snacks do you have per day? _____________________

10. Do you feel you eat healthy most of the time?

12. Please list any other considerations or information your trainer should be aware of before getting

started? (i.e. supplements, injuries, exercise or activities you can't/won't perform, effective motivation

techniques for you, etc.)