FITNESS PROGRAM APPLICATION - buffalowaterfront.com · fitness program application please submit to [email protected] contact information program information date submitted:

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