Service Request Form

Contact Information

First Name *

Last Name *

Email *

Email (Confirmation)

Phone *

Group, Department and/or Organization Affiliation *

Request Details

How can we help? *
First Aid, CPR and AED Certification Class for Groups - Certification Required
First Aid, CPR and AED Certification Class for Groups - Presentation Only
Guest Speaker
Group Fitness Class - Yoga, Zumba, Pilates, etc.
Small Group Training Service

What format of group fitness class are you interested in? *
Yoga
Pilates
Dance Formats - Groove, Zumba, Hip-Hop
Speciality Class - Barre, Kickboxing, TRX
SPIN
Strength, High Intensity Interval Training (HIIT) or Bootcamp
Other

If you selected other, please indicate the format you are looking for: *

Name of Event *

Please provide a brief description of the event. *

Is the event associated with an organization outside of the affiliation listed above? If so, please indicate here:

Event Date and Time *

What is the desired length of service you are requesting? *

Event Location *

Expected Attendance *

Preferred Work Tag for GVSU Department (if applicable) *

Service Disclaimer

All individuals requesting services from GVSU Fitness & Wellness are subject to the following terms and conditions for service:

It is the responsibility of the requesting parties to reserve and confirm the space.
Requests for outreach programming should be made no less than 3 weeks prior to the date of the proposed outreach program. Requests submitted less than 3 weeks notice may be denied, however exceptions may be made based on the event request.
It is the responsibility of the requesting person/s or organization/s to secure the location for the proposed program. Technology may be required based on the request. Any cost associated with the program (technology, location, etc.) is the responsibility of the requesting group or individual.
Marketing and promotion of the requested program or service is the responsibility of the requesting group. It is furthermore the responsibility of the requesting individual to remain at the event throughout the program. This may include providing access to the room or building at least 10 minutes prior to the scheduled start time, greeting students, assisting with set-up, participant sign in, passing out evaluations, etc.
Recreation & Wellness reserved the right to decline requests if the content being requested does not meet the mission of Recreation & Wellness, GVSU or competes with an already existing Recreation & Wellness program of similar topic. Events may be cancelled at the discretion of Recreation & Wellness staff due to unforeseen staffing situations, weather, space or other conflicting reasons.
Additional costs may be associated with the event based on the request, for which notice will be provided in advance. Examples may include, travel costs, additional staff, grocery expenses for cooking demos etc,.
It is at the discretion of the Recreation staff, if the event needs to be cancelled due to low attendance.

Acknowledgement of Understanding *
I have read, understand and agree to all the above statements.

Signature *

By signing below, you affirm that you have read, understand and agree to all the above statements.

Human Verification *

TRAINING SERVICES