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  1. Please include desired # of weeks if applicable, desired day(s) of the week, and desired time during the week.
  2. Proposed Season(s)*
    Please check all that apply
  3. Can you provide a recent background check or willing to take one if necessary?*
  4. ADA laws require programs must be able to make accommodations for handicap needs. Please explain.
  5. Please also include whether or not materials are already included or to be brought by participants.
  6. Please indicate what type of space, tables & chairs, audio/visual equipment (if applicable) you need for this course.
  7. Please attach resume, weekly syllabuses, program policies, pictures, etc. relevant to program proposal.
  8. On behalf of this program, I understand all procedures, policies and rules associated with this request and accept legal and financial responsibilities involved in the use of any Cherry Hill Township facilities and/or equipment. Please type name above.
  9. Leave This Blank:

  10. This field is not part of the form submission.