ArtLab

Access Art: Art Connects ALZ Registration

Please complete each section below.
Date

MonthDayYear
Date
Contact Name*

First NameLast Name
E-mail*
Please provide an email address used often.
Phone Number*
Dates:
How many are attending this date?
Adults*
Teens (14-18 yrs)*
Children (5-13 yrs)*
Total Attending 10/16/25
Minors must be accompanied by an adult.
How many are attending this date?
Adults*
Teens (14-18 yrs)*
Children (5-13 yrs)*
Total Attending 11/06/25
Minors must be accompanied by an adult.
How many are attending this date?
Adults*
Teens (14-18 yrs)*
Children (5-13 yrs)*
Total Attending 01-15-2026
Minors must be accompanied by an adult.
How many are attending this date?
Adults*
Teens (14-18 yrs)*
Children (5-13 yrs)*
Total Attending 04-16-2026
Minors must be accompanied by an adult.
There are no available dates at this time.
Should be Empty: