Book Harambee Wellness for your event

About Your Event
Which service(s) are you interested in?*

Fitness InstructionCooking Class or DemonstrationWorkshopCorporate Wellness Consulting
Which Fitness Format(s) are you interested in?

Cardio Blast CircuitBoot CampChair AerobicsStrength & StretchZumbaCustomized Format
Which Recipe Theme(s) are you interested in?

Budget Friendly MealsCooking 101: Survival BasicsKids in the KitchenLeftover RemixPantry to PlateQuick, Healthy Meals
Which Workshop Topic(s) are you interested in?

Benefits of Physical ActivityNutrition & Active LivingRestoring Your EnergySelf-care at HomePower of Positive ThinkingTime ManagementOther
Select Fitness Format(s)

Cardio Blast CircuitBoot CampChair AerobicsStrength & StretchZumbaCustomized Format
Select a Recipe Theme

Budget Friendly MealsCooking 101: Survival BasicsKids in the KitchenLeftover RemixPantry to PlateQuick, Healthy Meals
Select a Workshop Topic

Benefits of Physical ActivityNutrition & Active LivingRestoring Your EnergySelf-care at HomePower of Positive ThinkingTime ManagementOther
What are the desired outcomes for the program? (This helps with the program's content customization to meet your event focus and objectives)**
You can upload additional details here (optional)

Maximum of 2 files can be uploaded
Cancelof
Who is the target audience for the program*
How many participants do you expect to attend?*
It's okay to estimate.
Is this request for a recurring program or event?*

YesNo
Total number of sessions desired?*
Is this request for multiple dates?*

YesNo
What is the proposed date and start time? Please note: Harambee Wellness operates within the Eastern Time Zone Detroit, MI (GMT-5)

MonthDayYear
Date
Time AM/PM Option
If the event is for multiple proposed dates, please enter them below:
ex: Aug 1, 9, and 21st at 6:00pm
Desired duration of requested service(s)*
What is your budget range for the event workshop/instruction/presentation?*
Please enter a numeric value
Will your program be open to the public or is it a private event where only members/people in your network are able to attend.*

Completely private event (for a certain group of people i.e friends, workgroup or members only)Semi- Private (I have a set group of people but, would like to publicly invite more)Open to the publicOther - Please specify
How will the program be delivered?*

In-personVirtualTo be determined
Name of the Program Venue
ex: Local City High School
Address of the Program Venue

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where will program be held?

IndoorsOutside
Will program be live streamed via Social Media or other platforms?**
Ex: Streamed to Facebook page via Zoom
Do you need Harambee Wellness to provide digital streaming service, i.e. Zoom, StreamYard, etc?*

YesNoNot Applicable
Anything else you would like to share with us?*
Please verify that you are human :-D*
Should be Empty:

Corporate Wellness Questionnaire