ArtReach Form

ArtReach Inquiry
Teacher's full name*

First NameLast Name
Work email:*
example@example.com
School Name:*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of your school's Financial Administrator*
Email address of your school's Financial Administrator:*
example@example.com
Primary contact telephone number*
Please enter a valid phone number.
How many classes will be participating? (a "class" is 12-30 participants per instructor)*

1 class2 or more classes
Participating Teacher Name + Room Number *
Number of students*
Participating Teacher Name + Room Number (2)
Number of students (2)
Participating Teacher Name + Room Number (3)
Number of students (3)
Participating Teacher Name + Room Number (4)
Number of students (4)
Participating Teacher Name + Room Number (5)
Number of students (5)
Participating Teacher Name + Room Number (6)
Number of students (6)
Which program experience are you interested in? A VAM instructor can come to your school or you can come to our studios!*

2 hour ArtReach Workshop at your school (K-Gr. 8)2 hour ArtReach Workshop at VAM (K-Gr.8)2 hour ArtReach Workshop at VAM (SHSM/ Gr. 9-12)Full day ArtNaturally Workshop with Riverwood (Gr. 1 - 8)Need more info to book; please contact artreach@visualartsmississauga.com

Select One:*

I'm ready to book my workshop. A budget of $17 per student for ArtReach and/or $27 per student for Art Naturally has been approved by my admin team.I need a quote/more information to present to my admin team before I book.
Any notes?
Should be Empty:

Rows	N/A	Drawing (Pastel)	Printmaking	Mixed Media	Sculpture (Plasticine)	Sculpture (Metal Tooling, Gr.5-8 only)	Steam
JK/SK
Gr. 1-2
Gr. 3-5
Gr. 6-8

ArtReach Inquiry