American Eagle Customized Class Request Form
Email address *
Name (First and Last) *
Best Contact Email Address *
Best Contact Phone Number *
Preferred Contact Method *
Required
Participants Ages/Grade *
What theme(s) are you interested in for your customized class? (Select all that apply) *
Required
What day of the week do you prefer? *
What time of day do you prefer? *
Time
:
What location do you prefer? *
Anything else you'd like to tell us?
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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