Inclusive Art Class Lapeer
Please submit this registration form to participate in the art classes held 11am -12 pm at Disability Network Eastern Michigan, 800 West Street, Suite A, Lapeer, MI 48446. 

This class will meet on the following dates:

January 17, 2024
February 7, 2024
February 21, 2024
March 6, 2024
March 20, 2024

A reminder email will be sent to you three days prior to each class.  
Sign in to Google to save your progress. Learn more
Email *
Name (First and Last) *
Address *
City *
Zip Code *
Phone Number  *
Date of Birth (needed for federal grant reporting purposes only) *
Race (needed for federal grant reporting purposes only) *
DNEM offers free programs to people with disabilities.  Please assist us with accommodating your needs by identifying any disabilities you have:  
Clear form
Never submit passwords through Google Forms.
This form was created inside of DNOM. Report Abuse