Art Center Outreach Application
Thank you for your interest in having the Art Center at your event! Instructors provided will be professional art educators so as to provide you with a quality experience.

To assure a successful event and a positive experience please complete this form in its entirety at least 10 business days prior to your event. If any information provided in the application changes, any time after submitting the application, please notify the Art Center immediately.

If you have any questions regarding this agreement, please feel free to contact us. We look forward to being a part of your event!


Kayla Obert, Director of Education & Volunteers

The Art Center
1515 Jersey Street | Quincy, IL 62301
217.223.5900 | quincyartcenter.org
Monday - Saturday | 9 am - 4 pm

Email address *
Name of Event: *
Your answer
Date(s) and Time(s) of event? *
Your answer
Group/Organization Address: *
Your answer
Billing Address if different than above:
Your answer
Name, Phone Number and Email of Person who is filling out this form?
Your answer
Name and Phone Number of Contact Person on day of event (if different than above): *
Your answer
Purpose/Description of Event/Activity: *
Your answer
Group/Organization Status (check all that apply) *
Required
What is your Average Annual Event Attendance? If this is a new event what is your projected attendance? *
Your answer
How many participants do you expect the Art Center to serve?
Your answer
Which Art Kit Activity would you like for your event? Visit this page to view the selections http://quincyartcenter.org/education/toursandmore/
Your answer
What age group is the Art Activity for? (Check all that apply)
Will you be charging a fee for participants to partake in the Art Activity?
Is there an Admission Fee for your Event? *
Required
Is your event Inside or Outside?
Please check all amenities that will be provided.
Are there specific directions as to where the Instructor should park, enter, set up?
Your answer
Does your event serve any under-served populations? If so, please explain.
Your answer
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