Clinic Hosting Request Form

Information to consider when hosting

Gyms interested in hosting are asked to consider the following facility requirements prior to submitting:
– Enough Space to facilitate course
– Tables and Chairs to Accommodate the class size.
– Accessible power for presentation tools.
– Necessary Equipment
– Uninterrupted Gym Access (no classes running simultaneously).

Host Organization Information

Name of Contact Person
Clinic Address
Where the clinic be held

Course Information

Please indicate how many participants you have interested in taking the course
Will you be allowing individuals outside your club to participate?

Proposed Dates

Please select the Saturday of the weekend you'd like to host. Please provide more than one weekend.
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