Personal Training Registration

Please fill out the following information and we will contact you within 2-3 business days. For information about the Personal Training program and the different packages available, please refer to the tables below. If you have questions, please email the Assistant Director of Fitness Programs,  Alex Faris at ajf13@rice.edu


 Personal Training Information

General Information 

Name:  
Membership ID No.:  
Date (MM/DD/YYYY):  
Membership Status:  
Mailing Address:    
Email:  
Age:  
Phone (Cell):   
Phone (Home):  
Primary Care Physician:  
Physician's Phone:  
Physician's Address:    

Package and Personal Trainer

  Individual Buddy Group
Package 1
(3 sessions)
$135 Students
$150 Members
$180 Non-Members
$180 All Groups $270 All Groups
Package 2
(5 sessions)
$215 Students
$240 Members
$290 Non-Members
$290 All Groups $400 All Groups
Package 3
(10 sessions)
$400 Students
$440 Members
$530 Non-Members
$550 All Groups $650 All Groups
Package 4
(20 sessions)
$750 Students
$825 Members
$990 Non-Members
--- ---
Single Session:
Student: $55
Non-student Member: $60
Non-Members $70
Buddy (2 people): $65
Group (3-4 people): $95
 Fitness Assessment:
Students: $55
Non-Student Members: $60 
Non-Members: $70
 
Please indicate which package you choose:
Personal Trainer Preference:  
                                              
Personal Trainer Name:
If you prefer to work with a specific personal trainer, please indicate the name of the trainer. Although a request is made, not all requests can be accommodated due to availability conflicts between the client and trainer or a full client load for the trainer.
 
Please list the days and times of day you are available to train.    
If possible, please describe any specific exercise goals you hope to achieve through training.    

 

Physical Activity Screening Questions

Regular physical activity is enjoyable and healthy, and for most people safe. However, some individuals may have health-related risks that might require hem to check with their physician before starting an exercise program. Carefully read and answer the following questions. All information will be kept confidential.

(Please answer yes or no to the following questions)

 

Has your physician ever told you that you have a heart condition?
                                                  
Do you experience chest pain when you are physically active?  
                                                  
In the past month, have you experienced chest pain without performing physical activity?  
                                                  
Do you lose balance because of dizziness or do you ever lose consciousness?

                                                  
Do you ever have a bone/joint problem that could be aggravated by a change in your level of physical activity?  
                                                  
Is your physician currently prescribing medication for your blood pressure or heart condition?  
                                                  
Are you a male over the age of 45?  
                                                  
Are you a female over the age of 55?  
                                                  
Do you know of any reason why you should not participate in a program of physical activity?  
                                                  

If you answered yes to any of the above questions, it is recommended that you consult with your physician by phone or in person before having a fitness test or participating in a physical activity program.


Personal Training Policies and Agreement

 

Payment Policy

Sessions will be prepaid and payment is due at the time of initial appointment. Payments MUST be paid online through the Recreation Center website. Paying a personal trainer directly is strictly prohibited; all membership privileges to the Gibbs Recreation Center will be terminated if this is violated.

Session Duration

Personal training sessions are 60-minutes in length. Fitness assessments and orientations are approximately 45-60 minutes in length.

Risk Factor Notice

Clients must be cleared of any risk factors associated with physical activity prior to meeting with a personal trainer for a session. If a client is identified as high risk, the client must provide the trainer with a signed physician's medical release form stating that the client has been cleared to engage in physical activity.

Training Facility

The Gibbs Recreation Center and Rice University will be the training facility for personal training services during the time of appointment. Trainers are not allowed to train under other conditions or circumstances.

Refund Policy

Personal training packages are non-refundable.

Transfer Policy

All personal training packages are non-transferable. All personal training packages must be paid in full and submitted to the Gibbs Recreation Center Administrative Office  before the first session of each package is conducted. Sessions within a package cannot be split or transferred amongst other individuals such as spouses, peers, children and friends.

Late Policy

Personal training clients are responsible for arriving in a timely manner to their sessions. The personal trainer is required by policy to wait 15 minutes beyond the scheduled start time before the session is forfeited. If a client's session begins late due to the client's late arrival, the trainer continues with the session and ends at the scheduled time.

Cancellation Policy

Except in the event of an emergency, a minimum of 24 hours notice is required for the cancellation of a personal training session. Failure to cancel within 24 hours or failure to show up for a session will result in a forfeit of the session. Exceptions will only be made in the case of a medical emergency accompanied by a doctor's note. If there should be a discrepancy, the decision will be determined by the Assistant Director of Fitness. Personal training clients should contact their trainer directly should they need to cancel. If a client is unable to reach their trainer, they may contact the Assistant Director of Fitness, Alex Faris, at 713-348-2153.

With buddy or small group training, if one client shows up for the session, the session will be conducted and counted towards your total package purchased. If all parties fail to show up or cancel within 24 hours, the session will be forfeited.

Expiration of Personal Training Sessions

All sessions, packages, orientations, and assessments are valid for one calendar year after the date of purchase.

 

                         

 

 

Participation Agreement and Assumption of Risks and Liability

 

I, , desire to participate in the activities and programs of the Barbara and David Gibbs Recreation and Wellness Center (the "Activities") and, in consideration of being allowed to participate in the Activities and to use the machinery and equipment of the Barbara and David Gibbs Recreation and Wellness Center (the "Facilities"), I do hereby acknowledge and agree as follows.

1. I am fully informed and aware that my participation in the Activities and use of the Facilities involve certain risks, including, but not limited to, property damage and loss, bodily injury, illness and even death. I fully assume any and all risks.

2. I am in sufficient physical and mental health to participate in the Activities and to use to Facilities. I have medical insurance coverage appropriate for my participation in the Activities and use of the facilities, and I have provided medical insurance and emergency contact information below my signature on this agreement. I understand that Rice University shall not provide any insurance for me in connection with my participation in the Activities or use of the Facilities.

3. I fully and forever release, waive and discharge, and covenant not to sue Rice University (including but not limited to, its trustees, faculty, staff, students, agents, and representatives), from and for any and all demands, claims, actions, suits, damages, losses, liabilities, costs and expenses (including, but not limited to, court costs and attorneys' fees), from any cause whatsoever (including, but not limited to, property damage or loss, bodily injury, illness, or death) directly or indirectly arising in connection with my participation in the Activities or use of the Facilities, whether or not foreseen or contributed to by the negligent acts or omissions of Rice University or others.

4. This Agreement constitutes the entire agreement, and supersedes any prior or contemporaneous agreements, regarding this subject matter. The Agreement (i) may not be amended, by course of conduct or otherwise, and (ii) may not be assigned, in whole or part, except in writing duly executed by Rice University. This Agreement shall be interpreted and enforced in accordance with the laws of the State of Texas, without regard to any conflicts or choice of law principles, and shall be as broad and inclusive as permitted by such laws. If any provision of this agreement is held unenforceable by a court, such unenforceability shall not affect and other provision, and this Agreement shall be construed as if such provision, to the extent of such unenforceability, had not been incorporated herein.

5. I (i) have read and fully understand this Agreement, (ii) intend that this agreement be legally binding upon and enforceable against me and my family, estate, heirs, and legal representatives, (iii) intend that this agreement benefit Rice University, (iv) confirm that I am at least 18 years of age, fully competent, and am entering into this Agreement voluntarily and of my own judgment.

 

                         

 

Emergency Contact Name: 

Emergency Contact Phone: