Contractor Program Proposal

Name*

First Name

Last Name

Name of Business:

Phone Number: *

Email Address:*

Name of Program or Service: *

Program Cycle: *

Fall/Winter (September – February) Spring/Summer (March – August) Summer Camp Guide (June - August)

Facility Location:*

Georgetown Recreation Center Athletic Fields Garey Park Tennis Center Other

Facility Location: - Other*

Age: Minimum - Maximum *

Abilities Levels: *

Beginner Intermediate (Prior Experience Required) Advanced (Prior Experience Required) All Levels

Fee:*

How much do you need to be paid per participant for each course?

A typical course will be made up of several classes over a limited time period. Specific dates will be set if proposal is approved. One course is how many weeks?*

Number of weeks

Days Offered: *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Will your program have assistants?*

Yes No

Who will process registration?*

Georgetown Parks and Recreation My Business

Who will do the marketing? *

Georgetown Parks and Recreation My Business

Program Goals: *

Program Description: *

Skills Developed during program:*

What equipment and/or supplies will be provided by the contractor? (The contractor is responsible for ensuring that all equipment and supplies used for the program meets current safety and industry standards/guidelines and is in proper working condition.) *

What equipment and/or supplies will the Recreation Department need to provide for this program (including tables, chairs, audio-visual equipment, screens, hoops, goals)? *

What will the participants be required to bring? And in the case of special program materials, how much does each item cost? (Include required clothing, program materials, lunch, water, etc.) *

Do you or another organization offer this program in Georgetown?*

Yes No

If answered yes, then where: *