Education Virtual Assembly Request Form 2020-2021

Virtual School Assembly Request Form

2020-2021

Payment Policy

Assembly fees vary depending on the program. Please contact the education department for further information.

Payment Due

Full payment or the issue of purchase order is due 30 days after the reservation date/work order. If reservations are made less than one month prior to the event, payment is due seven calendar days before the assembly date. Please note: late payments may result in the cancellation of the program without further notice.

Payment Method

We accept checks, money orders, credit cards and DOE Purchase Orders (Vendor# FLU065000). Please make all the check payable to Flushing Council on Culture and the Arts. Upon receipt of full payment, a confirmation will be issued. No programs will be admitted without advance payment.

Cancellation & Exchanges & No Show

Cancellation:

You can cancel your reservation at least 15 business days prior to the reserved program. If you cancel after that, your full payment will be donated to FTH education program.

Changing the Dates:

You are welcome to change the date and/or time up to 1 week prior to the reserved assembly. Please contact the education representative as soon as possible and allow up to 7 business days to change the date.

No Show:

Refunds are not possible for absence. If you fail to show up on the day of the assembly, your full payment will be donated to FTH education program.

I AM FULLY AWARE AND AGREE TO ABIDE BY FLUSHING TOWN HALL’S RESERVATION AND CANCELLATION POLICIES. (PLEASE TYPE YOUR NAME IN THE SPACE BELOW) *
SCHOOL INFORMATION
Name of School/Organization *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Name *

First Name Last Name
Mobile *

Area Code Phone Number
E-mail *
How Did You Hear About Us?
Thank you for your inquiry! We will keep you updated with FTH EDU news and programs. If you do not want to receive our emails, please click UNSUBSCRIBE.

UNSUBSCRIBE
CLASS INFORMATION
Grade Level(s) *
Number of Students *
# students only
Number of Adults
# classroom teachers, chaperones, parents, paraprofessionals, etc
Please Select Three Possible Date(s)/Time(s) *

Month Day Year Hour Minutes AM/PM Option
Month Day Year Hour Minutes AM/PM Option
Month Day Year Hour Minutes AM/PM Option
Preferred Virtual Platform *
Do you have any accessibility requests for the virtual classroom? We will try to provide tech support as needed and if available.
Please Choose Your Payment Method (PLEASE NOTE FULL PAYMENT IS DUE 30 DAYS AFTER THE CONFIRMATION OF YOUR REQUEST) *

Credit Card Check by mail Money Order by mail DOE Purchase Order
VIRTUAL ASSEMBLY OPTIONS

Virtual assemblies are 45 minutes of live and pre-recorded performances and demonstrations with master teaching artists, followed by an interactive Q & A with your students. Our teaching artists can work with one classroom, the whole school, or family groups. All virtual assemblies support NYS Common Core Learning Standards and Blueprint Benchmarks.
Please select the program(s) that you are interested to book and we will contact you with further information.

Local Native American Culture Traditional Mexican Dance Traditional Chinese Dance Traditional Korean Dance and Music Japanese Kimono Culture Demonstration Latin, African and Caribbean Drumming Music: Al Andalusia to Dizzy Colombian Music and Dance: Cumbia Roots A Window to Andean Music and Traditions Traditional Chinese Music Cumbia for Kids Pourquoi Tales Storytelling Chinese Folktale Puppetry Show The Art of Shadow Theater: Family Stories
By submitting this request, I acknowledge that this is a REQUEST and not a CONFIRMATION. *

YES NO
Should be Empty:

Virtual School Assembly Request Form

2020-2021

SCHOOL INFORMATION

CLASS INFORMATION

VIRTUAL ASSEMBLY OPTIONS