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? 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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