Starting Arts During School Program Request Form
Be sure to review the general information and funding options before filling out this form.
Email address *
School Name *
Main Contact Name *
School Connection/Title (Principal, Teacher, PTA, Parent) *
Main Contact Email Address *
Main Contact Phone Number *
Grade Levels You Would Like Served *
(Can be a range. Sample answers: K-5, K-2, 3-5, 4th grade only)
Select Your Program Choices
Please choose all that you would be interested in. Please note: 8- week programs offer informal performances during the school day at no additional cost.
Approximately how many classes/classrooms will be served? *
Preferred days for Starting Arts instruction: *
Please choose all days that have availability (even if it is a 1day/week class, you can choose multiple days below that the class would be possible)
Are there days of the week that need to be avoided? *
If yes, please note which day(s)
Are there times of the day that need to be avoided? *
If yes, please note which time(s)
Location of class *
We request a dedicated space for our classes and prefer to avoid class to class arrangements.
Preferred Start Date *
How will this program be funded? *
Starting Arts does not directly book/pay for facility usage at the school *
Has the school had a previous arts provider? If so, please explain
How would you like a follow up from Starting Arts? *
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