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Program Proposal Form

The Kawartha Lakes Parks and Recreation Division is interested in expanding its menu of recreation, sports and leisure programs. In general, proposals should focus on these four different program areas:

Arts & Cultural Activities
Leadership & Personal Development
Sports & Recreation
Wellness & Personal Development

Instructor Information:

Name:

Address:

Telephone:

E-Mail Address:

Please describe your qualifications to instruct the proposed program?

Business Name:

Business website or social media account(s):

Proposed Program Information:

Proposed Program Name:

Program area of focus:

Sports & Recreation

Leadership & Personal Development

Health & Wellness

Arts & Culture

Other

Propsed Program Description:

Intended Audience (select all that apply):

Pre-School (under 5 years of age)

Youth (ages 5-13)

Teens (ages 13-19)

Adults (ages 19+)

Senior (ages 60+)

Proposed Number of Classes:

Proposed Class time/length?

Minimum number of participants:

Maximum number of participants:

In which areas of Kawartha Lakes would you consider offering your proposed program?

Bobcaygeon area

Manvers/Pontypool/Janetville areas

Coboconk/Kinmount/Norland areas

Little Britain/Oakwood/Woodville areas

Omemee area

Lindsay/Ops area

Fenelon Falls area

No preference

Proposed instructor wage per hour:

Proposed Program Requirements:

Supplies required:

Program facility requirements: Please provide specific information regarding facility needs including type of space and other consideration such as access to electrical, tables, chairs etc.

Personal information contained in this form is collected pursuant to The Municipal Act, 2001 and will be used for the purpose of responding to your request. Questions about the collection of this information should be directed to the City Clerk or Deputy-Clerk at 705-324-9411 extension 1295 or 1322

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Program Proposal Form

Instructor Information:

Proposed Program Information:

Proposed Program Requirements:

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