Program Proposal Form
If you are interested in starting a program with the Lancaster Rec, please complete the form below to be considered.
Name
*
First Name
Last Name
Organization (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Program Proposal Form
Describe the Program Below
Program Title
*
Which age group would this program serve? (Choose multiple if applicable)
*
Ages 1-5 (Toddler and/or Preschool)
Ages 6-17 (Youth)
Ages 18 and over (Adults)
Ages 65 and over (Seniors)
Description of the Program
*
What fee would you recommend for the program? (Participant fee)
*
Please note that the contractor would split all participant fees (50/50) with the agency.
Preferred Start Date
*
-
Month
-
Day
Year
Date
Desired Length of Program
*
Preferred Meeting Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many times per week would you like the class to meet?
*
How long would you like the class to meet for?
*
Minimum number of participants in order to run the program?
*
Maximum number of participants for this program?
*
Submit
Should be Empty: