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2. Name*
3. Email*
4. Phone Number*
6. Organization/Agency (If Applicable)
7. Website
9. Please Describe the Program(s) or Activities you are Proposing*
11. Have you partnered with a Parks and Recreation Agency Before?

    1. Yes
    2. No
12. Pricing

    1. Fee-Based
    2. Free
    3. Undecided
13. Program(s) is intended for

    1. Youth
    2. Adults
    3. Seniors
    4. Adults/Seniors
    5. All Ages
14. Could this program be offered in a virtual formats?

    1. Yes
    2. No
    3. Not Applicable/Unsure
16. Please check if you posses

    1. Proof of Insurance or ability to obtain
    2. Proof of Relevant Certifications
    3. Mandatory Reporter Trainining (For Youth Program Only)
17. Please list 2-3 references preferrably from other Municipalities
19. If available, please upload proof of insurance
21. If available, please upload certification
23. If available, please upload a sample flyer/marketing material
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field