Personal Trainer Request Form - Active Duty Only

Personal training is available at the MCAS and MCRD Fitness Centers. Each eligible adult patron can receive up to ten free sessions. Personal training is a free service for active duty members.
Sessions include but are not limited to the following:

  1. Consultation and completion of applications (Required)

1a. Medical release forms signed by your physician may be required as per ACSM standards. Sessions may not be offered until all required documentation is provided.

  1. Physical Fitness Assessment (Required)
  2. Balance Conditioning/Flexibility Conditioning
  3. Nutrition Consult
  4. Core Conditioning
  5. Strength Conditioning
  6. Strength Conditioning
  7. Strength Conditioning
  8. Strength Conditioning
  9. Cardiopulmonary Conditioning

All sessions must be completed within 60 days of Consult. Upon completion of all 10 sessions the personal trainers will provide each patron with their written exercise prescription.

You must be 18 years old and have a valid ID as an authorized patron of MCCS Fitness Centers.

All applications and assistance will be provided to you during your consultation.

Please complete your information in the areas below and include your preferences of days and times for your sessions on the “OTHER” Line. You will be contacted within 3 to 5 business days to schedule your consult.

If you have already received a personal training package, please bring it with you to your consultation.

Your personal information will be kept confidential.

If you have any questions you can reach the personal trainers at the following numbers:

MCAS Personal Training
843-228-6374
843-228-7010
MCAS Gym Fax - 843-228-6276
MCAS Fitness Center - 843-228-7192
MCRD Personal Training
843-228-1562
843-228-1563
MCRD Gym Fax - 843-228-4396
MCRD Fitness Center – 843-228-1579

Note: Frequent cancellations or no-shows for appointment may result in loss of sessions/services. Active Duty Military receive preference for services.

You must have a valid ID as an authorized patron of MCCS Fitness Centers.

Last Name:           First Name:         MI:

Rank:

What is your Status?:

Where did you hear about our program?:

When can you start?:

ATTENTION! Please keep in mind that a specific Personal Training program may be full for a given month(s) and you will be placed in the next available session period. Thank you very much for your understanding!

What weekdays are you available?:

Times available and list all that you can:

Day Phone: Area Code:     Number:     Ext:

Evening Phone: Area Code:     Number:     Ext:

Your Email Address:         Fax:    

Today's Date:

Mailing Address:

Address:   City:   State:   Zip:

Location Desired for Your Personal Training:  MCRD   MCAS

Comments and/or Other: