PLAYpass Service Provider Interest Form 
If you are interested in becoming a PLAYpass Service Provider, please fill out the following form
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Email *
Organization Information:

-Name of your organization

-Contact information (address, phone number, email).

-Brief description of your organization's mission and activities.
 *
Service Details: 

What type of sport or recreational programs does your organization offer?
 *

Cost and Financial Assistance:

Is there a fee associated with your programs, and if so, what is the cost? (provide a brief overview)

Do you offer financial assistance or scholarships for participants who may require it?
 *

Free Class or Clinic Offer:

-Does your organization have the ability to offer a free class or clinic to PLAYpass participants? (Yes/No)

-If yes, please provide details about the type of class or clinic you can offer and any specific conditions or limitations.

(This is totally optional and will not effect your ability to become a Service Provider, we just like to ask)
 *

Any Additional Information:

Is there any other information or details you would like to share about your organization and its suitability for the PLAYpass program?
 *
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