New Customer Registration Form

GCA Kit Program - Application for 25/26 School Year

The goal of the 'GCA Kits' program is to provide art programming to children in grades K - 6th who have limited access to the arts in their classroom/home. Through this program local educators/parents will be provided with art lessons, some basic supplies, and select tools so that they can provide their students/child with structured art projects to help them engage their creativity and grow their art-making skills.
CONTACT PERSON:
Full Name:*

First NameLast Name
School/Organization Name:*
Phone Number:*
Format: (000) 000-0000.
E-mail:
example@example.com
Program Details:
What county is your organization located:*
Do you currently have regular access to art instruction in your classroom/home?*

YesNoLimited
Kit Type Preference:*
What grade level(s) are your students?

KindergardenFirst GradeSecond GradeThird GradeForth GradeFifth GradeSixth Grade
Number of students:
If you have multiple grade levels, please list the number of children in each grade level.
We need to know what supplies you have on hand in the classroom. Please check all the boxes of supplies your classroom/home has on hand?*

Glue SticksPaint BrushesMarkersCrayonsOil PastelsChalk PastelsWatercolor SetSharpies/PensPencils/ErasersScissors
Terms & Guidelines:
Should be Empty:

GCA Kit Program - Application for 25/26 School Year