Full Name

Email *

Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. You can reply STOP to unsubscribe at any time.

City

Country

Country

Social Media Tag (s)

Facility Information

Are you willing to help with marketing the event (we require a minimum of 10 paying participants) *the 1-2 free spots afforded to you as a host do not count towards the 10 person total.

Please share 3-5 marketing strategies you and/or your staff use so we can best complement your efforts.

What dates are you wanting to host

Additional Information

How would you describe the nature of your gym or location where the event would take place (performance center, hotel conference room, physiotherapy clinic, other).

Do you have the following equipment at your facility

VALD Force Decks

VALD Force Frame

VALD Dynamo

VALD Nordbord

Plyometric Boxes

Medicine Balls

Dowels

Resistance Bands

Squat Racks

miniBands

Trap Bars

Barbells

Cones

Do you have access close to the facility to a field for the Plinth to Podium Field Session (indoor or outdoor for rental depending on the season).

Facility Name

Facility Address

Facility Website

Square Footage of Space dedicated during the event

Do you have A/V capabilities (TV/projector), seating, speakers and a whiteboard available?

Have you hosted any type of workshop, clinic or private event before?

Yes

No

How did you hear about ORKA Performance and/or Plinth to Podium

What is the primary outcome you are hoping to achieve through hosting Plinth to Podium (e.g. wanting staff to improve their rehab and performance skillsets, better identify weaknesses and strengths in your own rehab/performance approach etc.).

NEXT