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Online application
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Online Application
Organization:
Contact Person:
Address:
Phone:
Fax:
Email:
Please indicate best way to reach you between 10 a.m. – 6 p.m, Wednesday – Friday:
Email
Phone
We ask for two options to schedule your program, if you can provide two options, because sometimes there are major scheduling conflicts with our teachers and/or previously scheduled programs. We work to fulfil all first options.
Your requested date of program:
Date option 1:
(mm/dd/yyyy)
Date option 2:
(mm/dd/yyyy)
Requested time of program:
Time option 1:
(to correspond with date option 1)
Time option 2:
(to correspond with date option 2)
Age of students:
Total number of students:
Total number of chaperones, if any:
(adults not participating in the program)
Number of adults participating in the program, if any:
(for an additional fee)
Class Type:
(see our program list for options or describe your program).
Click here
to view available programs.
Do you want to hold this program:
At your facility?
At Lillstreet Art Center?