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Panorama Recreation

Proudly Supported by the CRD

Panorama Recreation

New Programs Application Form

Required fields are denoted with *

Contact Information:

Email*

Name*

Business Name (If applicable)

Street Address*

Postal Code*

City*

Phone*

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.

Program Category

Program Title*

Program description for the brochure: (in 550 characters or less try to sell us on this program)*

Day(s) of week*

Start Date (Course #1)*

End Date (Course #1)*

Total number of sessions (Course #1)*

Start Time*

End Time*

Any exclusion dates due to stat holidays? Please note:

Start Date (Course #2)

End Date (Course #2)

Total number of sessions (Course #2)

Start Time:

End Time:

Any exclusion dates due to stat holidays? Please note:

Start Date (Course #3)

End Date (Course #3)

Total number of sessions (Course #3)

Start Time:

End Time:

Any exclusion dates due to stat holidays? Please note:

Minimum participant age:*

Maximum participant age (if applicable):

Suggested participant registration fee*

Does the program require charge of an additional fee for supplies or training manual? Please specify if so:

Minimum # of registrants to offer program:*

Maximum # of registrants:*

Panorama Recreation Centre staff are typically permitted 50% off registration fees for registered courses. Recognizing that Staff registrants will reduce revenue, please indicate your willingness to participate:*

Has a revenue split been pre-negotiated? Please indicate what if so.

80%
70%
60%
Other

Set-up Information

How much set-up and take down time do you require prior to your class?

Please list additional equipment and/or set-up needs requested from us (e.g. TV/VCR, DVD, Flip Chart, Table/chairs).

Comments/ Special Instructions

Qualifications & History:

Briefly describe the history of your organization and/or program. Tell us why you feel you are a qualified instructor.*

List all relevant qualifications and certifications useful for instructing your program:*

Reference #1 Name:*

Reference #1 Relationship:*

Reference #1 Phone #*

Reference #2 Name:*

Reference #2 Relationship:*

Reference #2 Phone #*

Please provide a brief bio of you and/or your organization that can be made visible to program registrants upon registration.*

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:*

Yes
No

Type the code from the image

Useful Links

Job Opportunities

Hours of Operation

Assistance with the website

Contact Us

1885 Forest Park Drive
North Saanich, BC V8L 4A3
Tel: 250.656.7271

Email Panorama Recreation for assistance

Territorial Acknowledgement

The CRD conducts its business within the traditional territories of many First Nations, including but not limited to BOḰEĆEN (Pauquachin), MÁLEXEȽ (Malahat), P’a:chi:da?aht (Pacheedaht), Pune’laxutth’ (Penelekut), Sc'ianew (Beecher Bay), Songhees, SȾÁUTW̱ (Tsawout), T’Sou-ke, W̱JOȽEȽP (Tsartlip), W̱SIKEM (Tseycum), and xʷsepsəm (Esquimalt), all of whom have a long-standing relationship with the land and waters from time immemorial that continues to this day.

» Statement of Reconciliation

Proudly Supported by the

Panorama Recreation

Panorama Recreation

New Programs Application Form

Contact Information:

Program Information:

Set-up Information

Qualifications & History:

Important Note

Useful Links

Contact Us

Territorial Acknowledgement

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