Community Professional Partner Submission Form

Community Professional Partner Submission Form

Thank you for your interest in partnering with Fishers Parks! Please allow up to 14 days for your submission to be reviewed. Programs/Classes starting within the review timeline will be denied. Please note submission of this form does not guarantee approval. If you have any questions, please contact the Fishers Parks & Recreation Department at 317-595-3150.

Business Name*

Point of Contact Name*

Facebook Profile Link

Instagram Profile Link

Phone Number*

Phone

Email *

Address*

Are you 18 years of age or older?*

Yes

Program/Class Name*

Program/Class*

What type of program/class will you offer?

Program/Class - Description*

Please provide a detailed description of your program/class.

Dates*

What dates will you host your program/class?

Dates Skipped*

Will any dates be skipped during the duration of your program/class? Please type N/A if no dates are skipped.

Days*

Select the days you wish to offer your program/class.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Time *

What time do you wish to offer your program/class?

Age Group*

Please provide the targeted age group for your program/class. Example: 5years-10years

Minimum/Maximum Number of Participants*

Proposed Fee*

Facility*

Which facility would you like to host your program/class at?

Select or enter value

Facility Needs*

Please describe your facility needs.

Proof of Insurance*

Are you able to provide proof of insurance?

Yes

Are you able to provide instructor certification if needed?*

Yes

W-9/EFT/Background Check*

By checking this box, you're certifying that you will submit a current W-9 at this time. If your application is approved a background check will be requested. An EFT form will need to be submitted in order for the Controller's Office to process payment. *** W-9 and EFT information will only be processed if your application is approved *** Background checks

Upload Required W-9 form, background check and, if available, instructor certification*

Drag and drop files here or

Certification*

By checking this box, you're certifying that all of the above information is true to the best of your knowledge.

Send me a copy of my responses

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