Westford, VT Recreation - New Program Proposal
If you would like to offer a program through the Westford Recreation Department, please fill out and follow the directions on this form!  All programs for youth must have two background checked adults in attendance at each meeting of the program.
Program Name
 *
Program Summary - Please give a brief overview of the program including desired outcomes.
 *
Contact Name
 *
Mailing Address *
Email Address *
Phone # *
Primary Coach/Instructor name
 *
Has Primary Coach/Instructor been background checked by the Westford Recreation Department?
 *
Secondary Coach/Instructor name
 *
Has Secondary Coach/Instructor been background checked by the Westford Recreation Department ?
 *
If either Coach/Instructor will need to be background checked, please  print, fill out the Background Check Release and return to the Recreation Coordinator (a photo or scan with physical signatures is acceptable as long as the original is returned before the program starts).
Target Audience - indicate who the program is for
 *
Required
Start Date
 *
MM
/
DD
/
YYYY
End Date
 *
MM
/
DD
/
YYYY
Location
 *
Suggested Fee
 *
Number of participants
 *
Registration Deadline
 *
MM
/
DD
/
YYYY
Will you require any payment for this program?
 *
If you will require payment the following forms must be filled out:  Non-Employee Work Agreement, W-9, Vendor Payment Information. 
Clear selection
Advertising - please describe what you imagine the perfect advertising plan would include.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms