Together, We Can Make a Difference!
Thank you for your interest in the Creative Arts Therapy Program. Please complete the form below!
Name
*
Organization (if applicable)
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Date Requested
*
-
Month
-
Day
Year
Date
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many participants do you anticipate?
*
Please list the age range of the participants.
*
Does your event/party have a theme? If so, please add it below.
*
What is the type of event?
Community Event
Party
Team Building with Employees
What item would you like us to bring?
*
Tote Bags
T-shirts (we will need sizes)
Rhinestone Pottery
Rhinestone Portrait
Do you have a budget for this event?
*
Yes, under $100
Yes, $100-$200
Yes, over $200
No
There will be photography and videography for the use of content purposes which may included edits with no monetary compensation? These videos (with or without audio) and images may be used on the following: social media, website, emails, text messages, physical and digital cards, brochures, etc. Do you agree to these terms
*
Yes
No
Thank you SO much for your interest in Creative Arts Therapy. Any additional questions or comments?
Submit Form
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