Personal Training Application

This program is only available to faculty, staff, and Bellarmine students. Bellarmine employees can take advantage of three complementary personal training sessions*. Students will receive one complementary session. 

Whether you need to lose weight, obtain nutrition advice, get healthy, or start from the very beginning a personal trainer will help you achieve your health and fitness goals! Based upon your needs and experience a personal trainer can assist with the development of a basic fitness program or provide an orientation to the fitness equipment. * Each session is 60 minutes in length.

How do I get started?
Complete this form and you will be contacted as soon as possible to set up a meeting!

Questions?
If you have any questions or need further assistance, please email surf@bellarmine.edu

What is your university status?
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Cancellation Policy
If the personal trainer is unable to keep an appointment for any reason and unable to give the client at least a 12 hour notice, the client will receive one free personal training session. If the client is unable to give at least a 12 hour notice of cancellation, then they are required to make a normal payment. This policy also applies to no-shows.
Note: Please be on time for your session. If the client is late, the session will still finish on time.

By clicking "I Agree" below, I acknowledge that I have read and fully understand the Cancellation Policies as stated above.

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PAR-Q
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you
are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO

If you answered YES to one or more questions...
You need to provide a letter from your doctor stating that you are able to participate in physical activity, such as a personal training. Tell your doctor about the PAR-Q and which questions you answered yes. This letter is required by the Director of Campus Recreation before you may participate in the personal training program.

If your health changes so that you then answer yes to any other of the above questions, tell your personal trainer and doctor. Ask whether you should change your physical activity plan.
Send email to surf@bellarmine.edu if you have any questions.

If you answered NO to all questions...
Page 5 of 6 · Personal Training Application
You may participate in the personal training program immediately. If your health changes so that you then answer yes to any of the above questions, tell your personal trainer and doctor. Ask whether you should change your physical activity plan.

Has your doctor ever said that you have a heart condition AND that you should only do physical activity recommended by a doctor?
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Do you feel pain in your chest when you do physical activity?
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In the past month, have you had chest pain when you were not doing physical activity?
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Do you lose your balance because of dizziness or do you ever lose consciousness?
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Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
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Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
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Do you know of ANY OTHER REASON why you should not do physical activity?
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By clicking "I agree" below, I acknowledge that I have read, understood and completed this questionnaire as honestly as possible and that any questions I had were answered to my full satisfaction.

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Bellarmine University Sport, Recreation, and Fitness Center General Release, Assumption of Risk and Waiver of Liability

In consideration of my using the Facilities and Equipment (both as hereinafter defined) and/or services of the Student Sport, Recreation, and Fitness Center (the “Center”), including any travel related thereto, and my participating in any class, program, exercise training, exercise, Intramural, informal, instructional, group fitness, physical sports, weight and cardiovascular training, climbing wall, batting cages, practice turf activities, and any other activities and/or programs and services sponsored by Bellarmine
University and/or activities occurring in the Center whether organized by the Center or individually on my own (hereinafter referred to as the “Programs”), I agree as follows:
1. RISK FACTORS. I understand and acknowledge that my utilization of Center’s Facilities, including, but not limited to, the running track, batting cages, climbing wall, practice turf, exercise rooms, aerobic studios, and volleyball/basketball courts (the “Facilities”) and of the Center’s Equipment, including, but not limited to, cardiovascular and exercise weight equipment, treadmills, stationary bicycles, stair machines, and climbing equipment (the “Equipment”) and my participation in the Center’s Programs involves risk including, but not limited to, the following: risk of property damage and bodily injury, including, but not limited to, permanent disability, paralysis and possibly
death. These risks may result from the use of the Equipment or Facilities, from participation in the Programs, from the activity itself, from the acts of myself and/or others, or from the unavailability of emergency medical care for any reason.
2. ASSUMPTION OF THE RISK. I expressly and voluntarily consent and agree to assume full responsibility for any and all damages or injury that may arise out of or result from my use of the Equipment or Facilities, and/or my participation in the Programs, except for any injuries caused by the gross negligence or willful or wanton misconduct of any officials, officers, employees, agents, or volunteers of Bellarmine University.
3. RELEASE. I hereby release, waive and forever discharge Bellarmine University, its affiliates, their directors or trustees, officers, employees, personnel, volunteers, and any of their staff members, instructors, agents or representatives (“Releasees”), from all liability to me of and from any and all present and future claims, demands, damages, actions, or rights of action, whether legal or in equity, arising from or by reason of any bodily injury or personal injuries known or unknown, death, loss or theft of personal property or property damage that may occur as a result of my participation in the Programs. I further hereby release, waive and forever discharge Releasees from all liability to me of and from any and all present and future claims, demands, damages, actions, or rights of action, whether legal or in equity, arising from or by reason of any bodily injury or personal injuries known or unknown, death, loss or theft of personal property or property damage that may occur in, on or about the Center’s premises or as a result of my using or misusing the Facilities and/or the Equipment.
4. ACKNOWLEDGEMENT OF POLICIES AND PROCEDURES. I acknowledge reading and knowing all policies and procedures relating to the Programs, Facilities, and/or Equipment and understand that the safe and proper use of Facilities, Equipment or participation in the Programs is dependent upon carefully following such policies and procedures. I agree to comply with and abide by all rules and regulations of the Center and Bellarmine University. The Center staff reserve the right to temporarily or permanently revoke or terminate my membership privileges for any violations of the rules and regulations of the Center or for any violations of the policies and procedures relating to the Programs, Facilities, and/or Equipment of the Center.
5. PREREQUISITE SKILLS AND TRAINING. I acknowledge that I have the requisite skills, qualifications, physical ability and training necessary to properly and safely use the Equipment, Facilities, and to participate in Programs offered in the Center. I agree that if I have any questions as to what skills, qualifications, or training is necessary to properly use the Equipment, Facilities, or participate in the Programs of Center, then I will direct such questions to the appropriate staff member on site.
6. INDEMNIFY AND DEFEND. I agree to indemnify and hold harmless the Releasees from and against all claims, demands, lawsuits, causes of action, liabilities, losses, costs (including reasonable attorneys’ fees and court costs) or damages for any property damage, property loss or theft, personal injury, death or other loss arising from or relating to my use of the Center, Facilities, Equipment and/or my participation in any Program.
7. PAY. I agree to pay for any and all damages to any property of Releasees caused by my negligence, willfully or otherwise.
8. REPRESENTATIVES. I enter into this Agreement for myself, my spouse (if any), my heirs, assigns and legal representatives and persons claiming through or under myself.
9. CONSENT AND RELEASE FOR EMERGENCY TREATMENT. I, as a user of the Center, Facilities and Equipment and participant of the Center’s Programs, hereby consent to medical treatment in a medical emergency where I am unable to consent to such treatment. I further release the Releasees from any claim whatsoever on account of first aid treatment, emergency medical services or other services rendered to me during my participation in the Programs and use of the Facilities and/or Equipment.
10. INSURANCE. I understand Bellarmine University does not carry participant insurance, and that I will be solely responsible for any medical, health or personal injury costs relating to my use of the Center, Facilities and/or Equipment. I understand that I am encouraged to have a medical physical examination and to purchase health insurance for myself prior to any and all participation in any of the Center’s Programs.
11. JURISDICTION. This General Release, Assumption of Risk and Waiver from Liability (“Release”) shall be governed in all respects by the laws of the State of Kentucky. The parties agree to use the State of Kentucky for jurisdiction and the County of Jefferson in the State of Kentucky as venue for any disputes between the parties.
12. SCOPE OF RELEASE AND SEVERABILITY. I expressly agree that this Release is intended to be as broad and inclusive as permitted by the law of the State of Kentucky, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I certify that I am physically fit to participate in all the activities described, and have no medical or physical condition that impairs, restricts, or prevents my participation, affects my health or safety, or that of others participating in these activities.

By clicking "I Agree" below, I acknowledge I have read and fully understand this Release. I realize it relates to surrendering and releasing valuable legal rights and remedies. By clicking "I Agree" below, I hereby freely and voluntarily release those legal rights and remedies.

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