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Group Wellness Form
Thank you for inquiring about group wellness! We offer virtual & in-person classes for all ages.
Please fill out the form so we can learn more about your needs!
Website:
www.fusionfitnessbyjelyse.com
Email:
info@fusionfitnessbyjelyse.com
Phone: 919-244-0959
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* Indicates required question
Contact Name & Phone Number
*
Your answer
Contact Email Address
*
Your answer
Organization
*
Your answer
Event Name
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Time
*
Time
:
AM
PM
Class Length (length of instruction)
*
30 minutes
45 minutes
60 minutes
Is this in-person or virtual?
*
In-person
Virtual
What is the budget for this event?
*
Your answer
Describe the participants (select multiple if needed)
*
Youth (K-12th Graders)
Adults (ages 18-55)
Active Adults (ages 55+)
Required
What is their gender (select multiple if needed)?
*
Female
Male
Required
Estimated number of participants.
*
Your answer
What elements would you like in the class (select multiple if desired)?
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Cardio
Chair Exercise
Yoga
Mindfulness
Life Coaching
Strength Training
Required
What equipment will your participants have access to?
*
Chair
Yoga mat
Stretch bands
Required
Are you interested in learning more about our certified life coaching services?
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Yes
No
Fusion Fitness by Jelyse LLC is a wellness company offering physical and mental coaching. Is your organization interested in the following:
*
Webinar
Townhall
Workshop
Required
I acknowledge that participants will need to sign a waiver before the session releasing all liability from fitness instructor.
*
Yes
Other:
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