Name of Organization If this is for an organization, please provide us with the name of the organization. Contact Person First Name * Please provide us with the contact person's first name. Last Name * Please provide us with the contact person's last name. Phone * Please provide a phone number for the contact person. E-mail * Please provide an e-mail address for the contact person. Customize Program What type of fitness program would you like to schedule? * - Select -CyclingFitness Dance (Top 40, Zumba)KickboxingStrengthYoga (Pilates, Core & Stretch)Lecture/Information SessionOther Please indicate the type of fitness program you would like to schedule. Other Program Type * Please Specify Frequency * - Select -One-timeWeeklyMonthlyOther Please indicate how often you would like to host this session? Other - Please Specify * Please specify how often you would like to host this event. Preferred Start Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2020202120222023 Please indiciate your desired start date and time. End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022 Please indicate when your session will end. Start Time * Hour Hour123456789101112 : Minute Minute001020304050 am pm Please indicate the time that your class will begin. End Time * Hour Hour123456789101112 : Minute Minute001020304050 am pm Please indicate the time that your class will end. Where would you like to host this class? * - Select -Student Recreation CenterGerlingerOther Please note: Must be held in a UO facility. Cycling classes must be held in the recreation center unless your facility is equipped with cycling equipment. Other Location * Please specify where you would like to host your class. How many participants are you expecting? * Please indicate the number of participants you are expecting. Questions or Comments? Please tell us if you have any questions, comments, or additional information about your request.