Starting Arts During School Program Request Form
Be sure to review the general information and funding options before filling out this form.
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 and 12- week programs offer informal performances during the school day at no additional cost.
Dance- 6 weeks
Dance- 8 weeks
Dance- 12 weeks
Music- 6 weeks
Music- 8 weeks
Music- 12 weeks
Theatre- 6 weeks
Theatre- 8 weeks
Theatre- 12 weeks
Visual Art- 6 weeks
Visual Art- 8 weeks
Visual Art- 12 weeks
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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