PRIVATE LESSONS Program Submission Form Have an idea for a program to offer? Fill out the form below. Instructor Name * First Name Last Name Title of Workshop/Class * Which day(s) could you teach this program? * Please select all the days that you are available. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Age Group * Feel free to select multiple. Youth (5 to 12) Tween (12 to 16) Adult (17 +) Adult (21+) All Ages Please provide the time preference & length of your program. * i.e. I will need 2 hours starting at 6p Would you need additional time for anything? i.e. I need an extra 15 minutes for setting up for the class and 15 minutes for clean-up. How many days/weeks would this program run for? * Please describe this program including an outlined syllabus * Does your program need additional materials that The Center will have to help provide? Please include everything you may need for your program. Thank you!