Grow With Us at The Clubhouse

Full Name *

First Name

Last Name

Phone Number *

(###)

###

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Roles you’re interested in *

Lead Instructor

Support Staff

Workshop Facilitator

Teen Group Facilitator

Adult Workshop Instructor

Comfortable with these age groups *

2–4

5–7

8–10

11–13

14–18

Adults

Weekly Availability *

Monday afternoon/evening

Tuesday afternoon/evening

Wednesday afternoon/evening

Thursday afternoon/evening

Friday afternoon/evening

Saturday morning

Saturday afternoon/evening

Flexible / Pop-Ups Only

Do you have clearances/certifications? *

Yes

No

Are you interested in proposing your own workshop or pop-up? *

Yes

No