Personal Training Request Form Webform Personal Training Request A valid DFC membership is required to work with a trainer. Please select the option that applies to you. - Select -I am a current memberI'm considering a membership Email Name First Last Phone Number Age and DOB Gender Columbia Affiliation - Select -UndergradGraduate StudentAlumnFaculty/StaffFamily MemberNeighbor Preferred Trainer What is your availability for training? (note: swim sessions may only occur during M-F evening and weekend Rec Swim) How many times per week would you like to work with a trainer? Type of training you are requesting - Select -Individual TrainingPartner TrainingGroup Training (3-5 people) Indicate if you are requesting swim training. (If you are interested is Youth Swim Lessons, please visit our Youth Swim Lessons section) Partner or Group Member Names (each participant must submit a request form) Your fitness goals and objectives Describe your general fitness level/experience If you have worked with a trainer previously, please describe your experience. Describe your current physical activity or exercise habits. Anything else we should know? (special considerations, favorite activities, etc.) I agree to the terms of service. Information Confidentiality The Columbia University Personal Training Program classes provide vigorous recreational exercise; prior exercise is presumed. If you are new to exercise or have any doubts as to your readiness to participate in an activity, you should consult your physician, the Program Director and/or your trainer. Like any activity, exercise has its risks. While trainers are intent upon preventing and minimizing the chances of these problems occurring, primary responsibility for your safe participation remains with you. Once in a session, if you experience pain, discomfort, or anxiety, stop exercising and consult with your trainer or Program Director. Any questions which may have occurred to me have been answered to my satisfaction. I understand that all information collected regarding my participation in this program will be held in strict confidence by the Physical Education staff. I hereby certify that I have read, understand, and accept the policies of the Personal Training Program. Program Policies Refunds and Expiration Policy Prorated refunds are granted on non-expired sessions for documented medical reasons ONLY. An additional $10 cancellation fee is applied. Refunds are NOT granted for any reason on expired packages.Expired sessions are forfeited. Packages expire accordingly: Single Session – 14 days from date of purchase Five Sessions – 2 months from date of purchase Ten Sessions – 4 months from date of purchase Package expiration cannot be extended. All unused sessions - whether due to package expiration, graduation, relocated, gym membership expiration/ loss of DFC access, or any other non-medical reason - are forfeited. It is the client's responsibility to complete their sessions in a timely fashion. General All participants must have a valid DFC membership and swipe into the facility using their CUID or DFC ID. No ID; no entry. All sessions must be paid for in full prior to the start of training. Free trial sessions are not offered. BUY SESSIONS ONLINE anytime online. Lateness and Cancellation Policies You must provide a 24-hour notice for any cancellations to avoid being charged for that session. Out of respect for one another's time and in order for us to provide you with the best service possible, we ask that you be prompt for your session. If you arrive more than 15 minutes late, your session will be forfeited and considered “cancelled”. Trainers are not required to wait for clients who are more than 15 minutes late. Please call your trainer if you anticipate being late. Submit