Fillable Thank you for your interest in providing classes (Southbury, CT)

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Thank you for your interest in providing classes (Southbury, CT)

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P&R Class Proposal TOWN OF SOUTHBURY, CT Page 1 of 5
Dear Prospective Instructor:
Thank you for your interest in providing classes with the Town of Southbury!
The Southbury Parks and Recreation Department sponsors a diverse range of events, activities,
and programs for the youth and young at heart of the Town of Southbury. These offerings are
designed to meet the physical, social, cultural and educational needs of the community for those
of all ages.
The following information is required in order for your class proposal to be considered as an
addition to our programs. Please review the following information carefully and submit all
required documents:
1. Class Proposal Form
2. Proof of Insurance
3. Any necessary class related certifications
Due to limited facility and brochure space, not all class proposals will be considered. Also,
proposed classes that are too similar to current offerings may not be considered.
P&R Class Proposal TOWN OF SOUTHBURY, CT Page 2 of 5
Southbury Parks & Recreation instructors are expected to manage their programs. This includes:
Purchasing and preparing supplies needed
Additional marketing/advertising if necessary
Set-up/take down of equipment
Cleaning up after each class
Ensure quality program content
The Southbury Parks and Recreation Department may provide advertisement in the seasonal
brochures, and online and print media sources. When possible, we provide facilities and
equipment. We handle all program registrations, payments, refunds, class cancellations,
customer call and inquiries about programs. At the end of each session, instructors will submit
an invoice for the amount of students based on the total resident/non-resident rate. A percentage
fee of 80% will then be paid to the instructor.
Please review the attached documents carefully and please let us know if you have any other
questions.
We look forward to hearing from you.
Southbury Parks & Recreation
Phone: (203) 262-0633
Fax: (203) 267-7840
561 Main Street South, Southbury, CT 06488
ParkRec2@southbury-ct.gov
www.southbury-ct.org
P&R Class Proposal TOWN OF SOUTHBURY, CT Page 3 of 5
COURSE PROPOSAL FORM
INSTRUCTOR / ORGANIZATION INFORMATION
Instructor / Contact Person:
Organization (if applicable):
E-mail Address:
Phone 1: Phone 2:
Address: Town/State/Zip:
Please include name and contact information for each instructor who would be conducting
classes:
Name Address Email Phone
Please note:
You will be required to submit a completed Vendor Application Form, IRS W-9 Tax Form, and an
Indemnification Agreement prior to being contracted and paid for your services.
P&R Class Proposal TOWN OF SOUTHBURY, CT Page 4 of 5
PROGRAM DETAILS
If you are proposing multiple classes, each with different content, please complete a separate
program detail sheet for each class.
Program Name:
Briefly list/describe what your students will be doing:
List of all materials, supplies, and equipment (include handouts/reference materials, pens,
folders, and all supplies the students will need to participate in your program):
Supplies you will provide for the students:
Supplies students must purchase to bring with them to class:
Equipment you will need Southbury Parks & Recreation to furnish for your program (i.e. tables,
chairs, sink, etc.)
P&R Class Proposal TOWN OF SOUTHBURY, CT Page 5 of 5
Type of Facility required:
Classroom (tables and chairs) Multipurpose room Indoor open floor space
Outdoor location Other (please describe):
Class days/session days (check all that apply):
Sunday Monday Tuesday Wednesday Thursday Friday
Time Frame:
Please note that due to the limited space and time available at our facilities, we may not be able
to accommodate your proposed class times, dates or locations. If this is the case, we may contact
you to suggest alternate times/locations.
Student Fee(s): All program registration fees are paid directly to the Town of Southbury. Student
fees are then paid to the instructors on a per session basis. 80% of the class registration fees will
be paid to the instructor.
Participant ages:
Number of students in class: Maximum Minimum
Class description for Southbury Parks & Recreation Brochure: (“Sell” your program to potential
participants in 45 words or less).
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Thank you for your interest in providing classes (Southbury, CT)

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Completed 29 July 2020

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