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Fitness On-the-Go Requests
Please submit this form providing the information we need to set you up with an instructor and class. We look forward to teaching to your group!
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* Indicates required question
Contact Full Name
*
Your answer
Contact E-mail
*
Your answer
Contact Phone Number
*
Your answer
Group Name
*
Your answer
Group Type (SALP, sorority, PSU dept., etc.)
*
Your answer
Estimated Attendance
*
Your answer
Do you prefer an in-person class (located somewhere on campus) or a virtual class (via zoom)?
*
In person
Zoom
I'm not sure
If you prefer an in person class, do you have a space reserved? If yes, where?
If no, we may be able to help you secure a location but this is ultimately the responsibility of the group.
Your answer
Programming Requested
*
For example: Gentle Yoga, Zumba, Bootcamp, Stretching, etc.
Your answer
Preferred Instructor?
Your answer
Preferred Date
*
MM
/
DD
/
YYYY
Preferred Time
*
Time
:
AM
PM
Alternative Date
*
MM
/
DD
/
YYYY
Alternative Time
*
Time
:
AM
PM
Preferred Payment Method ($45 per class)
*
Departmental JV (requires index code from accounting)
In person at Campus Rec Member Services via credit card, cash, or check
Unsure
Questions, Comments, Additional Information & Special Requests
Your answer
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