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FITNESS PROGRAM APPLICATION
PLEASE SUBMIT TO [email protected]
CONTACT INFORMATION
PROGRAM INFORMATION
Date Submitted: __________________
Name: ______________________________________Organization: _________________________________ Email: _______________________________________Phone: ______________________________________ Website: _____________________________________
Have you taught here before? YES NO
Title of program: ________________________________Expected attendance per occurrence: _______________Brief description of program:
Space needed for program: _________________________Desired day(s) of week & times (check all that apply):
Additional Schedule Notes (if needed):
Target AudienceSkill Level:Gender:Age Range:
Equipment needed:
Special Requests or needs:
M TU W TH F SA SUMORNING AFTERNOON EVENING
