SLARA Class Proposal
Name
*
First Name
Last Name
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.
Format: (000) 000-0000.
Please describe your experience/background in the proposed program. Include relevant certifications and years of experience:
*
Please provide a detailed Course Description:
*
List any previous experience or prerequisite of participants prior to taking class:
*
Please provide a four sentence description of your program that would appear in marketing materials:
*
Please select the format/frequency of sessions for the proposed class.:
*
One Day Workshop
Once a week
Twice a week
Summer Camp
Other
If you selected 'other' please explain
*
Proposed class duration (ex: 4 week session, 1 week summer camp, etc.)
*
Proposed class length (ex: 1 hour, 30 minutes, etc.)
*
First Choice of desired day to conduct class.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Second Choice of desired day to conduct class.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
First choice of desired class time.
*
Second choice of desired class time.
*
Will you provide necessay supplies/materials for the class?
*
Please Select
yes
no
Suggested per person activity fee.
*
Suggested Age Range
*
Type of facility desired (classroom, soccer field, gym, etc.)
*
Suggested Minimum Enrollment #.
*
Suggested Maximum Enrollment #.
*
Submit
Should be Empty: