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Private Party Request Form

Please complete the Private Party Request Form to request a date and time for your big celebration. We will do our best to accommodate your requested date and time. This form is a REQUEST and does not guarantee or book a private party at Shine Fitness Studio. A member from the Shine team will reach out to discuss your party and confirm the booking.

Contact Information

Full Name

*

Phone Number

*

E-Mail Address

*

Date of Birth

*

Party Information

Honoree's Name

*

Party Type

*

Birthday

Bachelorette

Girls Night Out

Other

Apparatus of Choice

*

Pole Dance

Pole + Chair

Pole Silks

Aerial Hammock

Aerial Hoop

Aerial Silks

Dance Trapeze

Chair Dance

Burlesque

Number of Attendees

*

Preferred Date

*

Preferred Time

*

Add-On Options - Extra Fees Apply

Please check all Add-Ons that apply

Glow Package (Pole Only)

Extra Instruction Time (30 Minutes)

Extra Instruction Time (60 Minutes)

Extra Studio Time (30 Minutes)

Extra Studio Time (60 Minutes)