INTAKE FORM: PRIVATE FITNESS REQUEST

Wellness & Recreation

Private Fitness Request Form
All private Fitness requests should be sumitted a minimum of 2-3 weeks prior to the date of your request. While we will do our best to accommodate all requests, we cannot guarantee the availability of our instructors, facility, or equipment.
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Organization/Group Name:*
Request Type: (Select all that apply)*

Fitness Class at Wellness & RecreationFitness Class at external locationOther
Will all participants be NC State Students?*
If no, please provide details below on who will be participating.
Preferred Class Type:
If you selected other, please indicate details in the bottom section
Preferred Location:
If you selected other, please indicate details in the bottom section
Preferred Time(s):
Estimated number of partcipants:*
Preferred Class Date:*

MonthDayYear
Date
ADDITIONAL NOTES/COMMENTS:
Please provide any additional information regarding your request. The more information you can provide the better.
If you are requesting a Private Fitness Class within a Wellness and Recreation studio, pre-reserved times are currently available for Dance and Yoga classes on Tuesdays at 6:00pm. (note: this pre-reserved time does not guarantee the availability of our instructors, just the studio space.)

If pre-reserved times do not work for your needs, please tell us more about your class request in the additional notes above.
PRE-RESERVED TIMES
PRICING OVERVIEW

Please select the type and quantity of each product. Note: a formal price estimate will be provided after your request is confirmed.
PRIVATE CLASS PRICING OVERVIEW*
prevnext( X )
Student Group: Cost Per Class$50.00

Quantity

Non-Student Group: Cost Per Class$65.00

Quantity

External Location Add-On$20.00
If this class will occur at a external location (either on or off campus), there will be an add-on fee of $20 per class to account for additional transportation time for the instructor.

Quantity
Item subtotal:$0.00

Total $0.00
Payment Method*

Credit CardInterdepartmental Transfer
Are you redeeming a Well Wolfpack Certification?
NOTE: Credit Card payments for all private classes is required before the date of the class.
Should be Empty:

Wellness & Recreation

If you are requesting a Private Fitness Class within a Wellness and Recreation studio, pre-reserved times are currently available for Dance and Yoga classes on Tuesdays at 6:00pm. (note: this pre-reserved time does not guarantee the availability of our instructors, just the studio space.)

If pre-reserved times do not work for your needs, please tell us more about your class request in the additional notes above.

PRICING OVERVIEW

NOTE: Credit Card payments for all private classes is required before the date of the class.