Panorama Recreation

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New Programs Application Form

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New Programs Application Form

About Us

Required fields are denoted with *

Contact Information:

Email*

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Name*

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Business Name (If applicable)

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Street Address*

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City*

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Home Phone*

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Work Phone

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Postal Code*

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Qualifications & History:

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

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

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Reference #1 Name:*

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Reference #1 Relationship:*

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Reference #1 Phone #*

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Reference #2 Name:*

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Reference #2 Relationship:*

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Reference #2 Phone #*

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

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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*

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

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Has a proposed location been discussed for this course?*

Not yet
Yes, offsite at my location
Yes, onsite at one of Panorama’s locations
Other (please specifiy)

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Day(s) of week*

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Start Time*

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End Time*

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Start Date (Session #1)*

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End Date (Session #1)*

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Any exclusion dates due to stat holidays? Please note:

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Start Date (Session #2)

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End Date (Session #2)

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Any exclusion dates due to stat holidays? Please note:

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Start Date (Session #3)

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End Date (Session #3)

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Any exclusion dates due to stat holidays? Please note:

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Minimum participant age:*

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Maximum participant age (if applicable):

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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).

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Program Budget

Suggested participant registration fee*

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

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Minimum # of registrants to offer program:*

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Maximum # of registrants:*

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As a way of encouraging members to participate in registered courses and to make participation in these programs more accessible, Deluxe Pass membership holders typically receive up to 20% off registration fees of registered courses.

Recognizing that member registrations will impact revenue, please indicate your willingness to participate:

Panorama Recreation participates in the Leisure Involvement For Everyone (L.I.F.E.) program that allows those with low incomes to register for a limited number of programs at a reduced rate (50% discount up to a maximum of $50).

Recognizing that LIFE registrants will reduce revenue, please indicate your willingness to participate:*

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

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Comments/ Special Instructions

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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:*

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Job Opportunities

We offer competitive wages as well as flexible hours and offer amazing benefits including free facility drop-in access and paid staff training. Read more>>

Contact Us

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

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Territorial Acknowledgement

The CRD conducts its business within the traditional territories of over 20 First Nations, including Songhees, xʷsepsəm (Esquimalt), W̱JOȽEȽP (Tsartlip), BOḰEĆEN (Pauquachin), SȾÁUTW̱ (Tsawout), W̱SIKEM (Tseycum), MÁLEXEȽ (Malahat), Sc'ianew (Beecher Bay), T’Sou-ke, Pacheedaht and Pune’laxutth’ (Penelekut). All of whom have a long standing relationship with the land and waters from time immemorial that continues to this day.

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Panorama Recreation

Panorama Recreation

New Programs Application Form

Contact Information:

Qualifications & History:

Program Information:

Set-up Information

Program Budget

Important Note

Job Opportunities

Contact Us

Territorial Acknowledgement

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