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UCSD FitLife Mobile: Request Form
FitLife Mobile brings fitness & wellness programs to you!
A three week lead time is required for Fitness Classes and Workshops.
For multiple requests, please submit each request in a separate entry.
For information on pricing please visit our website at:
https://recreation.ucsd.edu/services/fitlife-mobile/
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* Indicates required question
Contact Email
*
Your answer
Group/Organization
*
Your answer
Contact Name
*
Your answer
Contact Phone Number
*
(xxx) xxx-xxx
Your answer
Recurring Fitness, Yoga, & Pilates
(three+ consecutive weeks of classes to qualify)
Yoga
Bodyweight Bootcamp
Core Fit
Pilates Mat
Cardio Dance
One-Time Fitness, Yoga, or Pilates class
Yoga
Bodyweight Bootcamp
Core Fit
Pilates Mat
Cardio Dance
Wellness Workshop
Basic Nutrition Workshop: Fuel Your Day
Basic Nutrition Workshop: Meal Prep 101
Basic Nutrition Workshop: Nutrition Myth Busters
Customized Nutrition Workshop
Basic Wellness Workshop: Proactive Wellness
Basic Wellness Workshop: Mindfulness Workshop
Basic Wellness Workshop: Yoga Nidra
Basic Wellness Workshop: Roller Skating Fundamentals
Basic Wellness Workshop: Roller Dance
Customized Wellness Workshop
Class or Service Day(s) and Times
*
Example: M, W | 12-1PM
Your answer
Location
*
Building & Room (Class location must be secured before contract start date)- For Virtual Class, type "Zoom"
Your answer
Instructor
*
If you're not sure, write TBD.
Your answer
Contract Length - Start Date
*
MM
/
DD
/
YYYY
Contract Length - End Date
*
MM
/
DD
/
YYYY
Holidays
*
If none, write N/A
Your answer
Payment Type
*
Recharge (Please provide index number below)
Credit Card (Please schedule a time to meet with
tcaddell@ucsd.edu
)
Check(s) (Please make check payable to UC Regents and send to Tiffany Caddell at Mail Code 0529)
Additional Comments
Your answer
Thank you!
We will respond to this request within 1-2 business days.
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