Request a Workshop
Hello and thank you for requesting a workshop through Health and Wellness! Please fill out this form while keep a few things in mind:
-Workshops must be requested a minimum of THREE WEEKS in advance from the preferred date of your workshop
-Requesting a workshop does not guarantee that we will be able to accommodate your request
-We will try our very best to work with you and give you a quality workshop
Thank you again for choosing Health and Wellness!
Email address *
First and Last Name *
Your answer
Phone Number *
Your answer
Affiliation (what club, department, organization, etc. is the Workshop for) *
Your answer
Select a day of the week on which you would like your Workshop. Please note that Workshops on Thursdays can only be held after 8:00pm. *
Workshops must be requested a minimum of THREE WEEKS in advance from the preferred date of your workshop.
Preferred Date of Workshop *
MM
/
DD
/
YYYY
Preferred Time of Workshop *
Time
:
Second Preferred Date of Workshop *
MM
/
DD
/
YYYY
Second Preferred Time of Workshop *
Time
:
Preferred Location (ex. San Nicholas Formal Lounge) *
Your answer
Does your location provide: *
Required
Expected Audience Size (ex. 20) *
Your answer
Comments or Questions?
Your answer
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