Boston University Fitness & Recreation Center
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Class Request

* denotes required field

Client Information

Organization Name:
Contact Name: *
Day Phone: *
Fax Number:
E-mail Address: *
Mailing Address: *
City: *
State: *
Zip: *
Advisor Phone:

Class Information

Type of Class Requested:*
Name of Class Requested:*
Preferred Day(s):* Sun Mon Tues Wed Thurs Fri Sat
Expected Number of Participants:*
Names of Participants:
Enter up to 30 names, separated by commas

Date and Time Information

Day One:* ,
  Start Time* :
  End Time* :
Day Two: ,
  Start Time :
  End Time :
Day Three: ,
  Start Time :
  End Time :
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