Class Application

Complete and submit this form to schedule your class. If the class is being held at the CCA building, be sure to ensure the building/room is reserved for the requested date and time. Please provide both the start and end time for your class.

* Indicates required field

Instructor Name *

First

Last

Instructor Email *

Instructor Phone Number *

Name of Proposed Class *

Date and Time (Start and End) of Class *

Class Size Limit *

What will you charge for this class, including materials? *

Student Age *

Age 18 and up Age 16 and up Age 14 and up Age 12 and up

Description of Proposed Class *

Short Teacher Bio (optional) *

Class Image1 (required) *

Max file size: 1 MB

Class Image 3 (optional) *

Max file size: 1 MB

Class Image 2 (optional) *

Max file size: 1 MB

Class Image 4 (optional) *

Max file size: 1 MB

Submit