Required fields are denoted with  *

Contact Information:

Program Information:

Submit a separate form for each unique program ie. if you teach Yoga and Pilates, or if you teach the same program on different days and times each week.

Please confirm the revenue split negotiated with your Program Coordinator.*

Set-up Information

Important Note

All contractors and their employees are required to provide proof of a recent (within 1 year) municipal Criminal Record Check prior to the start of the program. Criminal Record Checks can be obtained from your local Police Department.
I understand that this is required:*