Educational Workshop Request Form
Completing this form will begin your group visit reservation. You will be contacted within 5 business days by a staff member at The National Jazz Museum in Harlem to discuss your reservation. If you have questions, please feel free to call us 212-348-8300 x103
Name of Organization or School *
Your answer
Primary Contact First Name *
Your answer
Primary Contact Last Name *
Your answer
Primary Contact Phone Number *
Your answer
Primary Contact Email Address *
Your answer
Number of guests *
Groups of 35 or more may be asked to split into multiple groups, for more information please call us at (212) 348-8300 Ext. 103
Your answer
Age of Guests *
Required
Which workshop are you interested in booking? *
Does your school currently offer music or arts education?
What music knowledge does your group possess? *
Required
First Choice: Date and Time (10:30 AM to 4:00 PM) *
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Time
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Second Choice: Requested Workshop Date and Time (10:30 AM to 4:00 PM) *
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YYYY
Time
:
Any specialty topics or areas of interest around which you would like this workshop to framed?
Your answer
Are you a Title I School? *
Any special accommodations? *
Including severe allergies, physical, or learning disabilities.
Your answer
What language does your group speak?
Other than English
Your answer
How will you be paying for your workshop?
$10 museum admission per person must be paid 5 days prior to your visit.
Are you interested in boosting your workshop?
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