C l e v e l a n d S t a t e U n i v e r s i t y ’ s C a m p u s R e c r e a t i o n S e r v i c e s
Thank you for your interest in personal training at Cleveland State University
Campus Recreation Services! Please fill out the following form so that the Fitness and Wellness department can accommodate your request. If you have any questions about the personal training services offered at CSU Campus Recreation Services please contact Melissa Albers, Fitness and Wellness Coordinator, m.a.albers@csuohio.edu or 216-802-3256.
Name: ____________________ Email: ______________________
Phone Number:_____________
Are you a current CSU Recreation Center Member? Yes/No
Student/Membership ID Number:_____________
I am interested in the following Personal Training option:
O Individual Personal Training O Small Group Personal Training
O Body Composition O Fitness Assessment
If you are interested in Small Group Personal Training, please list the other potential participants you would like to train with.
__________________________________________________________
__________________________________________________________
__________________________________________________________
Trainer Gender Preference:
O Female O Male O No Preference
How many sessions a week would you like to work with a Personal
Trainer?
O One O Two O Three O Four O More than four
How long would you like to work with a Personal Trainer?
O A few sessions to get me started
O One-two months
O Three-six months
O More than six months
Please select the following days that you are available to train:
O Monday
O Tuesday
O Wednesday
O Thursday
O Friday
O Saturday
O Sunday
Please select the following times that you are available to train:
O Early morning (5:45am-9am)
O Mid morning (9am-12pm)
O Afternoon (12pm-2pm)
O Early evening (2pm-6pm)
O Evening (6pm-9pm)
O Night (9pm-11pm) *This time is not available on Saturday and Sunday*

C l e v e l a n d S t a t e U n i v e r s i t y ’ s C a m p u s R e c r e a t i o n S e r v i c e s
Check all that apply.
O General fitness
O Injury rehab
O Basic strength training
O Cardiovascular endurance
O Weight loss/management
O Flexibility
O Bodybuilding
O Sport performance
O Other: _____________________
:
Body Composition- Member (M) $10 / Nonmember (NM) $15
Fitness Assessment- M $25 / NM $35
:
Initial Session Package* - M $90 / NM $110
1 session- M $35 / NM $45
3 sessions- M $96 / NM $130
5 sessions- M $160 / NM $220
10 sessions- M $300 / NM $430
20 sessions- M $550 / NM $840
*Required for all first time participants. Includes a fitness assessment and 2 one (1) hour sessions with a Personal Trainer
(prices are per person) :
Initial Session Package* - M $70 / NM $90
5 sessions- M $110 / NM $170
10 sessions- M $225 / NM $335
20 sessions- M $450 / NM $740
*Required for all first time participants. Includes a fitness assessment and 2 one (1) hour sessions with a Personal Trainer
Thank you for your interest in Personal Training sercies at CSU
Recreation Center.
-You will be contacted within two business days to schedule an initial session with a trainer.
-All participants who have never had a Personal Trainer with CSU
Campus Recreation Services must buy an Initial Training Package. This package includes a Fitness assessment and 2 one (1) hour sessions with a Personal Trainer.