Event Request Form

Thank you for your interest in hosting Body 4 Believers in your area.  We ask you to please complete the following form to help us be better prepared in presenting the best program possible for your participants.

Your Name:                Your Email:

Event Information
The information you submit in this section will be used by our office in all promotional efforts of your event.  To ensure accurate information we ask you to double check the spelling and contact information before submitting.

Please check which event schedule you are requesting: 

What evening/day(s) of the week are you requesting:

Event Start Date:   Event End Date:     

Event Start Time:

Place of Event:        Event Address:
Event City:          Event State:      Event Zip Code:   

Please give us the phone number we can promote for participants to call for directions and event information:
Phone Number:

Please choose the instructor of your choice:

Coordinator Contact Information
This information will be used by our office to keep in contact with you leading up to the event.  This information will not be listed in our promotions unless you have supplied this information in the above form.  The person you list in this area will be our point of contact as the representative of your event.

Coordinator Name:       Phone:         


Promotional Help
It is our goal to assist you in every way possible to make this event a huge success for you.  To do this in the most effective way, we will need you to give us some information regarding the media you have located in your area.

Please give us the following contact information (Name, Phone, Email and Address)



After completing and submitting this form, someone from the Body 4 Believers' office will be contacting you to confirm the dates you have requested.  Thank you again for your interest in Body 4 Believers.