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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.

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

Set-up Information

Qualifications & History:

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:*