Personal Trainer Request Form

Personal training is available at the MCAS and MCRD Fitness Centers. Each eligible adult patron can receive up to ten free sessions.
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
843-228-6429
MCAS Fitness Center - 843-228-7192
MCRD Personal Training
843-228-1562
843-228-1563
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:

Where did you hear about our program?:

When can you start?: ATTENTION! The MARCH – APRIL 2010 Personal Training program is full for MCAS Beaufort. The next avaiable session period is MAY - JUNE 2010. Thank you!

What weekdays are you available?:

Times available (0500 to 1730 only) 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:

*BEFORE SUBMITTING FORM, ENSURE YOUR EMAIL ACCOUNT IS OPEN AS THIS ONLINE FORM WILL USE YOUR EMAIL TO SEND THE ACCREDITATION INFORMATION.


If you are not redirected to www.mccs-sc.com/news.asp in 10 seconds, click link.