Form Center

2. 
3. Parks & Recreation Program Proposal Form
   Please complete this form with information on your proposed program. Your submission will be reviewed and you will be contacted by the appropriate Parks & Recreation representative.
7. First Name
8. Last Name
10. Your Business Name
12. Address1
14. Address2
16. City
17. State
18. Zip
20. Email
21. Phone
22. Website
26. Proposed Program Title
28. Program Description
30. Participant Outcomes
32. Program Outline
34. How can this program be adapted for people with disabilities?
36. Season

    1. Spring
    2. Summer
    3. Fall
    4. Winter
37. Class Days

    1. Saturday
    2. Sunday
    3. Monday
    4. Tuesday
    5. Wednesday
    6. Thursday
    7. Friday
38. Number of Weeks
39. Min/Max Participants
41. Length of Sesson
    How many weeks would each session run.
42. Class Start Time
    Class Start Time
43. Class End Time
    Class End Time
44. Target Population

    1. Youth: Preschool
    2. Youth: School Aged
    3. Adult
    4. Senior
46. Required Equipment & Supplies Provided by Instructor
48. Required Equipment & Supplies Provided by Parks & Recreation
50. Please provide details of other similar programs in the Castle Rock area.
52. Outline any safety and/or emergency considerations and steps you will take to mitigate any potential hazards or harm to participants.
    Instructor will be responsible for informing the Town of Castle Rock Parks & Recreation and participants of these potential considerations prior to any participation in activities.
54. List any actions you will take in the event of inclement weather.
56. List any actions will you take if you are unable to attend on any particular day.
58. List any instructor qualifications, including required or preferred certifications.
60. List instructor references and prior employment.
64. Requested Percentage of Revenue
65. Suggested Fee per Participant
69. Please check all that apply.

    1. I operate a business dedicated to offering the services listed above.
    2. I provide/offer similar programs at other agencies.
    3. I can provide a Certificate of Insurance ($1 million/occurrence and $1 million aggregate) naming "The Town, its officers and employees, as additional insureds". *Required of all contracts
71. You may use this feature to upload a supporting document.
75. By submitting this form, you agree that the information contained in this form is accurate and correct to the best of your acknowledge and you consent to the Town of Castle Rock Parks & Recreation department contacting the references listed.
Leave This Blank:


77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit

* indicates a required field