Contractor Interest Form

Contractor Interest Form

Please complete this form if you are a new contractor or a current contractor wanting to offer a new class/program.
Contractor Information

Please fill out the information below.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Company Name
Leave blank if not applicable
YesNoUnsure
Class/Program Information

Let us know what type of class/program you are wanting to offer.
AquaticsPersonal TrainingFitness & WellnessCampsSpecial InterestMartial ArtsFine ArtsOutdoor ProgramsYouth SportsAdult SportsTherapeutic/Adaptive RecreationActive AdultsOther
Name of Class/Program*
YesNo
NASMISSAACSMNSCAACENCSFNFPTAFAAOther
Please explain*
YesNo
What is your specialty?*
e.g. strength training, corrective exercise, senior fitness, sports performance, etc.

YesNoUnsure
YouSomeone ElseUnsure
Where else is it offered?*
For example, The MARQ in Southlake, LifeTime, Senior Living Facility, etc.
Please describe the class/program in detail. *
What will participants be doing? What will participants learn? What purpose does this class/program serve?
Class/Program Needs

Let us know what type of space and/or equipment you will need.
What is the minimum number of participants you need registered to hold this class/program?*
Minimum registration required for class to make
What is the maximum number of participants you will be able to accommodate in this class/program?*
Maximum registration before class is full
YesNoUnsure
What type of equipment will you need?*
Please be as specific as possible and include quantities.
The REC of GrapevineThe Vine Arts & Events CenterOther
ClassroomArts & Crafts RoomComputer LabStage ClassroomStewart Hall AStewart Hall BActive Adult LoungeNorth GymSouth GymNorth RacquetballSouth RacquetballDance RoomExercise Studio AExercise Studio BExercise Studio CWellness B Music StudioOther
Vintage HallVintage RoomCenter Stage StudioSide Stage RoomBlack Box TheaterOther
Class/Program Schedule

When are you wanting to offer your class/program?

GoGrapevine Magazine Timeline

For your class/program to be included in our magazine, your content must be turned in by the due date below.
SpringSummerFallUnsure
By signing below, I understand this form is only to show my interest and does not guarantee approval or scheduling. If selected, I agree to follow the GoGrapevine magazine deadlines and understand that late submissions or last-minute changes cannot be accepted.*

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Contractor Information