Private Education Event Request Form

Private Education Event Request Form
Group Name (if applicable)
Primary Contact Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
E-mail*
example@example.com
I Prefer to Be Contacted by:*

PhoneEmailBoth
What type of private education event are you interested in?*
Age range for attendees (configure the slider to the lowest possible age on the left and the highest on the right. If participants are all adults, set both sliders to 21+.)*
Please select three possible dates and times for your event below.

Note: Selected dates are not final. Once we recieve your request we will contact you to confirm the final date and time based on availability.
Date & Time Option #1*
Date & Time Option #2*
Date & Time Option #3*
Private Workshop
What type of workshop are you intrested in?*
Are You Planning on Adding a Cash Bar Service to the Workshop for an Additional fee?*

YesNo
Are You Interested in Adding Catering to the Workshop for an additional fee?*

YesNo
Are There Any Other Details You Would Like Fitton Center Staff to Be Aware of for the Workshop?
Non-Profit Workshop
Non-Profit Name*
Which Medium Are You Most Interested in for the Workshop?*
What Would Be Your Second Choice of Medium?*
Are There Any Other Details You Would Like Fitton Center Staff to Be Aware of for the Workshop?
Tour Add-On Activity
Which Activity Are You Most Interested in?*
Is There a Theme You Would Like Us to Include in the Activity?
Are There Any Other Details You Would Like Fitton Center Staff to Be Aware of for the Workshop?
Should be Empty:

Private Education Event Request Form

Please select three possible dates and times for your event below.

Private Workshop

Non-Profit Workshop

Tour Add-On Activity