PROGRAM/CAMP PROPOSAL FORM
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CONTACT INFORMATION
Name- First, Last *
Email Address *
Cell Phone Number *
Home Phone Number *
PROGRAM/CAMP PROPOSAL INFO
Title: *
Description: *
Duration- what type do you want to offer *
Date(s)- preferred dates that you want to offer *
Day(s)- preferred Days of the week that you want to offer *
Required
Times(s)- preferred times you want to offer 
(example- 6:00-8:00pm)  Provide as many times as you wish
*
Target Audience *
Required
Ages or Grades of Participants *
Participant Numbers- Provide Minimum and Maximum Enrollment Numbers of participants *
Time of Year *
Required
Space Needs- Type of space needed (example- gym, classroom, etc) *
Instructor Compensation Type *
Instructor Compensation Amount- Amount that you want to be paid.   *
Other Info- Please include any other info that you want us to know about the offering *
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