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. • • City of Sunny Isles Beach <br /> • ' Cultural & Human Services Department <br /> Pelican Community Park Community Center <br /> O." <br /> Program ProposaUSchedule <br /> Program Name: .'G014 IP _.(/ i fo'. Zei--19 P--€2-14--49ACI <br /> Description: u5.72 P.0.--40_44 C 5 - o2 t,.„,k- 41 H '4X' �e <br /> Proposed Dates: ?l� ��2_ �� I4 / Proposed.Days: j <br /> 7 ,22_7) 8/+2 - 81/6 <br /> Proposed Times: q— y ; 3 Total P ram Hours: �., -j 3 w <br /> /r � <br /> Target Age: b ` / 3 Location: Pelican Community Park <br /> Min#of Participants: c • Max#of Participants: 1/ O <br /> Instructor/Consultant I rmetlon <br /> Name: UA---0.- Akd414 . <br /> Address: 5 S 112 5 <br /> .L D5 1 y (©o ►e r Cr-t 3 3 32 S <br /> Phone#13-86- Z6Z6Zg_ Email: akoded aa.gVCse rc03I. co,-1 <br /> V <br /> Instructor Fees(fill in only one) �! <br /> 0 2 c, j k G tpr��ws Instructor's ,,J/ <br /> Percentage Split 7 0 /o - 7 o/o AlLe6gly Rate: Initials /-1 <br /> Suggested Program Fees <br /> —P P . <br /> Members: �[PO, Non-Members: 7 <br /> Approved: . Lt LLL4 )C4&d - Date: 1`c// 3 <br /> Contract Sent to Legal: 41 51/3 <br /> Background Check$24.50 Cash/Check# Date EE Initials <br /> Proxy card $10 <br /> or ID card $5 TOTAL Fee Received: $ <br /> r o .--t - t f <br /> M1 - i . i n� :1 J �- s r : 1 w < S F 1, 1 t IF y <br /> r a I <br /> Jt <br /> 1 1 <br /> x <br /> t } r 11 11 1 t / 11 I Ili 151 i ], I i i! I r 1 1 t ,%_!,:::k...- I t I 1 <br /> {I tis } � s. �^ r a s r� s I ti I r 7 S l I r t f - t r I 1` l I l I I 1 o -1,. -I i 1< r IF!, I Y ,-1,_I I , 'z 1 1 z _ r L 1 t ` } r P F t .-.1.;!„,_.t f In-I- r '11,-.1-!'111 I I, t - 1 I. Ill 1 i ' r ., kt i . } �t• <br /> RL <br /> r i'...1:".:':1:-..: { ° 1 <br />