Host Site Submission

We appreciate your interest in offering to host a certification training, seminar and/or masterclass at your facility. Completing the following information will confirm your interest, and help us coordinate a fantastic event!

Program Certification Trainings:

SCW Certifications/Programs:

Required Information:

Contact Name

First NameLast Name

Contact Preferred Number

Area CodePhone Number

Contact Cell Number

Area CodePhone Number

Contact Preferred Email

Contact Alternate Email

Host Facility Name

Host Facility Phone Number

Area CodePhone Number

Host Facility Address

Street Address

Street Address Line 2

City

State

Zip Code

Please provide 3 date options to host the event. The dates must be at least 8 weeks out from the date of this forms submission.

1st Choice

MonthDayYear

2nd Choice

MonthDayYear

3rd Choice

MonthDayYear

Facility Hours:

Thursday:

Open to Close (Hint: 9am - 6pm)

Friday:

Open to Close (Hint: 9am - 6pm)

Saturday:

Open to Close (Hint: 9am - 6pm)

Sunday:

Open to Close (Hint: 9am - 6pm)

The following requirements may be necessary to ensure the event will be as successful as possible!

Please indicate if you can provide:

1. Exclusive use of group fitness studio with mirrors for the duration of the EVENT:

2. Partial or exclusive use of the pool for the duration of the event:

If you answered "Yes" above, please indicate the weekend hours of pool accessibility:

Saturday Pool Availability

Sunday Pool Availability

3. Numbers of available equipment:

Bikes:

Ballet Barres (Indicate number of participants that can be accommodated) :

Yoga Mats:

Medicine Balls:

Stability Balls:

Pilates Balls:

BOSU Balance Trainer Balls:

Gliding Discs:

Small Handballs:

Jump Ropes:

Boxing Gloves (pairs):

Hand Pads (pairs):

Hand Wraps:

Free Standing Boxing Bags:

Therabands:

Ankle Bands:

Tubing:

Aqua Noodles:

6' Tables:

Folding Chairs:

Kettlebells (Indicate quantity and poundage for each):

Hand weights (Indicate quantity and poundage for each):

Other Equipment:

Indicate name of equipment and quantity

4. Other essentials that may be required for a successful event:

a. Television with red/white/yellow input jacks (to playback feedback onsite)

b. Flipchart & pens/markers or whiteboard

c. Group fitness studio sound system (CD and ipod hookup)

d. Headset / microphones

e. Pool sound system

f. Pool microphone

g. Power Point LCD projector

h. Screen

i. Drinking water

j. On site cafe/restaurant

k. Please list two local sandwich/salad shops (if available):

Name of establishment 1:

Address:

Phone:

Website

Proximity to host facility (miles/minutes by car):

Name of establishment 2:

Address:

Phone:

Website:

Proximity to host facility (miles/minutes by car):

5. Other rooms available/Associated facility name with number of individuals it can accommodate:

Main Facility Room: