OUTREACH REQUEST FORM

To request possible program dates, please fill out this form.

Please allow up to 2 business days for email confirmation. For questions, please call 214.515.6540.


Contact Person *
Contact Person is required
Address *
Address is required
Contact Phone *
Phone is required
Grade level attending *
Grade Level is required
Number of students attending *
Number of students is required
Number of teachers/chaperones attending
(Required: 1 per 8 students) *
Number of teachers/chaperones is required
School or Organization Name *
School or Organization Name is required
City *
City is required
State *
State is required
Zip *
Zip is required
Email *
Email is required
Do you have any special needs?
Yes
Your special needs
Field is required
Requested Date:
1st choice
Field is required
2nd choice
3rd choice

Please check the program that you would like to reserve:


Nature Naturally

($100 per class Oct-Nov / Mar-May; $75 per class Aug-Sept / Dec-Feb)



Niños y la naturaleza

($125 first class, $100 each additional)



Auditorium Program

($250 each presentation Oct-Nov / Mar-May, $220 Aug-Sept / Dec-Feb)



After School Program

($1250 per 7-week unit; Discount for multiple units available)


2nd-3rd Grade

4th-5th Grade

1st - 5th Grade


Please describe:
Field is required

Are you using an Arts Partner voucher?
Voucher #
Field is required
Approval Code
Field is required
Are you requesting financial aid?

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