Educational Workshop Request Form
Completing this form will begin your group visit reservation. You will be contacted within 5 business days by the a staff member at The National Jazz Museum in Harlem to finalize your reservation and finalize payment. 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 *
Workshops can accommodate groups between 5 - 20 visitors. Our gallery space can accommodate up to 40 visitors. If your group is larger than 20, 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
Requested Workshop Date and Time: First Choice *
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Time
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Requested Workshop Date and Time: Second Choice *
MM
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DD
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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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