Your email (this will be the main communication method we will use) *
Your answer
Your phone number
Your answer
Please provide a description of the activity or program you are proposing (include a proposed title of the program, target audience, and participant ages) *
Your answer
What is your minimum AND maximum amount of participants you require to host this program? *
Your answer
What is your background relating to this activity and do you have teaching or other experience working with participants in this activity? *
Your answer
DATES & TIMES: Will the class be on-going or a one-time event? What is your preferred time & duration of the class? What day(s) work best for you? *
Your answer
Please tell us the minimum fee you will need to charge per person for this activity *
Your answer
Can you provide your own liability insurance for this program? (it may be required for certain programs) *
Anything else you'd like us to know about you or the program?