Arts in Education Program Booking Request Form - The ArtsCenter
Please complete this form in its entirety to ensure an artist booking. Contact the School Outreach Director, Micky Eilish (meilish@artscenterlive.org) with any questions.
Sign in to Google to save your progress. Learn more
Point of Contact (PoC) Full Name
This is the person who will act as an ambassador for the school or organization and handle all scheduling, coordination, and payment regarding the Arts in Education (AIE) Program.
*
PoC Affiliation with School/Organization
Affiliation could be grade level teacher, art teacher, principal, parent, etc. or job title.
*
PoC Email
This will be the primary mode of contact so please include an email that is checked regularly. This is also the email that all billing and invoices will be sent to.
*
PoC Phone
This is the secondary mode of contact. Please include a cell number or an office number that directly reaches the Point of Contact, not a school's front office.
*
School/Organization Name *
Principal/Director Name
*
Principal/Director Email
*
School/Organization Category
Select all that apply.
*
Required
Grade Level(s) or Age(s) of Participants
Please indicate if you are submitting a grade level or age range!
Ex. 2nd Grade, Grades 3-5, Ages 10-13, Age 12
*
Type of Arts Experience *
Required
Select all arts disciplines that interest you.
Can extend beyond the arts experience that you are requesting.
*
Required
Select relevant programming types.
We will work with you to find arts experiences that best reflect these program types.
Teaching Artist / Artist Group - First Choice
List your first choice arts experience.
*
Teaching Artist Name(s) / Artist Group Name(s) - Alternate Choices
Include all groups that you are open to booking.
Available Dates
For performances, please list 2-4 preferred dates for each Performing Artist.
For in school field trips, please list 3-5 dates that work for you (ex. March 11th, April 17th, May 4th).
For artist residencies, please list 2-4 date ranges of 5 days that work for you. Ranges are best when listed as consecutive days in a week (ex. Monday-Friday, March 7-11).
*
Performance/Class Times
All offerings run between 45-60 minutes for a single performance or workshop. Please indicate which times during the day you want to offer these experiences.
*
How many classes (max 30 students per class) will be participating?
Applicable only for in-school field trips, artist residencies, and workshops. Type N/A if booking a performance.
*
Roughly how many students will this programming reach?
Give your best estimation if you don't have an exact number.
*
What curriculum do you wish to target?
We seek to offer programming that enhanced district standards and curriculum. Tell us how you'd like this arts experience to enrich classroom instruction.
*
Please list all staff names and emails that will be participating in this program.
Applicable only for in school residencies, artist residencies, and workshops. Type N/A if booking a performance.
*
Additional Comments, Accommodations, or Requests
PAYMENT AND CANCELLATION POLICY
Contracts and invoices will be sent to the school upon scheduling confirmation. Full payment is due within 1 week of program completion.

Any site wishing to cancel programming must do so at least 2 weeks prior to start date. Cancellations less than 2 week prior to program start date will be charged the full contracted amount.
Any cancellation occurring after August 31st for fall programming or after January 1st for spring programming are subject to a cancellation fee, 20% of the contracted amount.

*If you have questions regarding funding sources or cancellations, reach out to the School Outreach Director, Micky at meilish@artscenterlive.org.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report