City of Brentwood
Home PageContact Us!Back

...adding joy to people's lives

Home Parks and Recreation Get Involved Program/Activity Proposal Form
Program/Activity Proposal Form
Please complete entire form
Instructors Name:
Zip Code:
Day Phone:
Evening Phone:
Checks made payable to: Instructor Business
Email Address:
Web Site Address:
Brochure Editions: Fall/Winter
      Oct 1-Jan 31
      Feb 1-May 31
      June 1-Sept 30
Course Title:
Detail Course Description:
Course Objectivies:
Learning Outcomes: (what will the participant learn/what are the benefits of taking the class.)
Please give us a five sentence description of your program that will appear in the City's Activities Guide (Be creative):
Participant's Ages:
Class Session Length: If other, please state:
Class will be held:
Once A Week Twice A Week Other
Which Day of the Week:
Monday Tuesday Wednesday Thursday Friday
Class Times:   to am pm
Number of Sessions: (List all sessions and dates below in the comment area of this form)
Course Fee:
Number of Students Needed: Minimum Maximum
Type of Facility Needed:
Lab Fee or Supplies Fee:
This fee should NOT be included into the class fee.
Is there any additional cost to the participants? Yes No
If Yes, describe in detail:
*Please e-mail your resume that pertains to your class or programs to or mail it to 150 City Park Way, Brentwood CA 94513 Att: Poldina Scherff, Recreation Supervisor.
Please compile below a list of names, addresses and telephone numbers of at least three references.




Comments: (Please add any additional sessions, with dates, times and "no class" dates)

Submit Completed Proposal
Click on the image for more information

Click on the image for more information

Upcoming Events:

Map of city parksMap of city parks Compare all parksCompare all parks Park FAQParks & Rec FAQ's
"Creating Joyful Community Experiences through People, Parks, and Programs"
Parks & Recreation Department       (925) 516-5444
35 Oak Street       (925) 516-5445
Brentwood, CA 94513
Operating Hours 8:00 a.m - 5:00 p.m.
After Hours Emergency Phone 382-5346