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Community Member Program Proposal Form

  1. Contact Information
  2. (If Applicable)
  3. Proposed Program Information
  4. This will be used for online and print promotion.
  5. Time of Year*
  6. Frequency of Event - How Many Days Per Week?*
  7. Target Audience*
    Check all that apply
  8. Describe requested compensation
  9. Waive Instructor Fee?*
  10. Does instructor/organization have insurance?*
  11. (e.g. open area, classroom, etc.)
  12. Are there supplies/equipment the participant will need to bring?*
  13. For use in our print/digital promotion
  14. .pdf, .doc, or .jpg
  15. .pdf
  16. Thank You!
    Thank you for your interest in offering a program with the Community Services Department. Your proposal will be reviewed to determine if it meets the needs of our community – after which you will be contacted where details can be discussed. Call or email the Department of Recreation and Parks with questions regarding this form: 802 777 1621 / Please note: The City of Winooski attempts to offer programs at the lowest possible price as a service to our community. Instructor compensation is one of the factors considered when determining program offerings. We welcome those who wish to donate their time as a service to our community.
  17. Leave This Blank:

  18. This field is not part of the form submission.