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2. Thank you for your interest in offering a program(s) with with Town of Brighton Recreation Department. We are always looking for, and welcome new program ideas and instructors.

   Please take a few moments to complete the following New Program Proposal form and we will contact you if your program idea seems like a good fit for the Department!
4. Program Name
   (Brief title for your program as it would appear in our program brochure)*
6. Program Description
   (Brief description of your program that will get people interested and excited about your offering)*
8. Ages
   (Include an age range for participants of your program)*
10. Days
    (Days of the week preferred for your program)*

    1. Mondays
    2. Tuesdays
    3. Wednesdays
    4. Thursdays
    5. Fridays
    6. Saturdays
12. Times
    (Include time for your program and duration, ie: 2:00 - 4:00 pm)*
14. Dates/# of weeks
    (We will work with you to determine exact date to correlate to our next brochure being published. Please include number of times the program will meet, ie: 5 Weeks)*
16. Fee
    (List the fee that we would charge, and any needed materials fees)
    *Fees are determined based on a 70/30% split after a $2 administrative fee is withheld per person . Instructors receive 70%*
18. Location (Where will the program be held?)*

    1. Online
    2. In Person (We do have space available at the Brookside Recreation Center)
20. For Online Classes: What type of online platform are you using? (Zoom, Google Classroom....) Please describe how you conduct your online classes
22. Facility Requirements
    (For in person programs: What is needed for you to have a successful program? What are your space/equipment needs? ie: classroom, tables & Chairs or wide open gym)
24. Instructor
    (Include your name, including any credentials as you would like it to appear in the brochure)*
26. Contact Information
    This is for internal use only, and will not be shared or distributed to the public
28. Name*
30. Preferred Phone Number*
32. Email*
34. Credentials
    (What qualifies you to teach this program? Please include education, past experience teaching, years experience etc...)*
36. Resume
    (Please attach if you have one. If not, no worries!)
38. Reference
    (Please provide at least one reference that is not a family member who can speak to your character and topic knowledge. Include name, phone number, and email)*
40. Are you currently teaching this class anywhere else (either in person or online)?
    (Please provide where and a contact information if possible)
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field