Program Proposal Form

1
Name* This field is required.
First Name
Last Name
2
Business Name
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Address* This field is required.
6
Name of Program* This field is required.
7
Description of Program* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
Professional Qualifications* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Target and Age Range of Audience* This field is required.
10
Student Min/Max* This field is required.
11
Description of Space Needed* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Preferred Day & Time of Class* This field is required.
13
Liability Insurance* This field is required.Please email a copy of your liability insurance to parksrec@cityofclawson.com
YESNO
Should be Empty: