Teacher Intake Form
Please fill out your information to begin the process of scheduling a class or workshop. Once received and should the information align with our needs and calendar, we will reach out to you to schedule. Thank You!
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Class or Workshop
*
Class
Workshop
Proposed Title of Class/Workshop
*
Preferred Class or Workshop Level
*
Please Select
Children
Teens
Adults
All Ages
Description of course/workshop.
*
Artist Bio
*
Availability (Days and Times)
*
Preferred Dates
Color image of your artwork to be used to advertise class
*
Browse Files
Drag and drop files here
Choose a file
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of
Headshot of instructor (can be cropped image)
*
Browse Files
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of
Materials list for students
Browse Files
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of
Additional Notes or Special Requests
Submit
Should be Empty: