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2. Instructor Interest Form
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Email Address
16. Day Phone Number
17. Evening Phone Number
19. Target Age Group(s) for Proposed Class?

    1. Infant
    2. Pre-School
    3. Youth

    1. Teen
    2. Adult
    3. Senior Adult
20. Interested in teaching as a volunteer?

    1. Yes

    1. No
22. Category of Proposed class(es)?

    1. Animals & Pets
    2. Arts & Crafts
    3. Cheer
    4. Comedy
    5. Computers
    6. Cooking
    7. Dance
    8. Environmental Education
    9. Finances & Investing

    1. Fitness & Exercise
    2. Foreign Language
    3. Games
    4. Health & Wellness
    5. Magic
    6. Martial Arts
    7. Music
    8. Nature
    9. Outdoor Skills

    1. Parenting Skills
    2. Real Estate
    3. Safety
    4. Senior Adult Activity
    5. Science & Innovation
    6. Theatre
    7. Tumbling
    8. Yoga
    9. Other

    You may choose more than one category

24. Day of proposed class(es)?

    Choose the day of the week the class will be held

    1. Mon
    2. Tues
    3. Wed

    1. Thurs
    2. Fri
    3. Sat
25. Proposed time for class(es)?
27. Brief Description of Proposed Class
28. Equipment Needs For Proposed Class(es)
30. Please upload your resume
32. Any additional information about the proposed class(es)?
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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