Get Fit Mobile Request Form

Point of contact name(Required)

First Last

Email(Required)

Phone(Required)

Date of event(Required)

Time of event (Start Time-End Time)(Required)

Name and purpose of event

Location of event(Required)

Street Address Address Line 2 City ZIP / Postal Code

Number of people expected to attend (1 - 9,999)(Required)

Age group of attendees

Is the event outdoors?(Required)

Please share any other helpful information about your event

Identify the offerings you are interested in:

Outreach team (tabling only)

Outreach team (mobile unit, outdoor events only)

Fitness on the Fly

Kids Adventure Challenge