This Application form is for use by a private entity requesting approval from the LARCS Board of Directors to hold a program on LARMAC owned property as a LARCS Program.  This form must be completed and submitted for review and approval in order to become an official LARCS program.  Program Applications must be submitted a minimum of (4) months in advance of the proposed program start date.

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Please Note: If you are proposing more than one program then you must complete this form for each program you are proposing.

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* 1. Name of Program:

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* 3. Instructor Name:

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* 4. Business/Organization Name (if applicable):

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* 5. Address:

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* 6. Phone Number:

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* 7. Email Address:

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* 10. Program Age Range:

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* 11. Program Fee Range: 

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* 13. Program Participants:

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* 14. Number of Instructors/Volunteers:

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* 15. If you are unable to attend a class during a session, do you have back-up instructor that would be able to teach in your place?

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* 16. If you do not have a back-up instructor would you be willing to find one if required?

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* 17. Preferred Time Period (Include Set-Up and Clean-Up):

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* 19. What Session(s) would you like to hold you program:

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* 20. What day(s) would you like to hold you program:

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* 21. When would you like to start your program:

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* 23. Program Description:

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* 24. Program Experience/Background:

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* 25. Will your program require music or amplified sound?  If yes, please describe:

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* 26. Do you currently hold your program at any other location?  If yes, where?

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