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2. 
4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Fax Number
16. Class Proposal Form

    Please complete this form about your class. Please fill out a separate form for each class you are proposing.

18. Class Structure (Please select one of the following)*

    1. Arts & Crafts
    2. Dance/Performing Arts

    1. Educational
    2. Physical Activities

    1. Health & Fitness
    2. Special Interest
20. Class Title*
22. Ages (Please circle the age range for the class)*

    1. Tot (0-4)
    2. Youth (5-12)

    1. Teen (13-17)
    2. Adult (18+)

    1. Senior (55+)
24. Minimum/Maximun

    (What is the fewest/maximum number of students you will take?)

26. Minimum*
27. Maximun*
29. Days*

    (What days of the week would you like to teach the class?)

31. Times*

    (What time of the day would you like to offer the class?)

33. Session

    Please select the session and the amount of weeks would you like to have the sessions of the class?

35. Session*

    1. Fall
    2. Winter
    3. Spring/Summer
36. Amount of Weeks*

    1. Monthly
    2. 8 Weeks
    3. 10 Weeks
    4. 16 Weeks
38. Make-up Sessions

    What do you want to do if you have to miss a class?

40. Class Fee

    How much would you like to charge for the class? Instructor’s pay = 70% Class Fee

42. Pre-requisite

    Are there any skills a participant must have prior to taking this class?

44. Equipment needed

    What equipment is needed to provide this class? Would the Instructor or the City be responsible in providing this equipment?

46. Participant Attire

    What are students expected to wear/bring? Will they need to purchase extra supplies from you in addition to the class fee?

48. Class Description

    Please provide the who, what and why? This information will be part of promotional material.

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50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field