Reservation Information
January 23 - April 3, 2024 - Art+LA
For grades 7-12
April 9 - May 31 - Art+Story
For grades 3-6
*This program will run on Tuesdays, Wednesdays, and Fridays from 9:00 a.m. to 10:30 a.m.*
Date of Requested School Visit
Please select only Tuesdays, Wednesdays, or Fridays
2nd / 3rd Options if requested date is unavailable
2nd - Date of Requested School Visit
Please select only Tuesdays, Wednesdays, or Fridays
3rd - Date of Requested School Visit
Please select only Tuesdays, Wednesdays, or Fridays
Timed Event Agreement
I understand that this is a timed program and commit to arrive by
9:00 a.m.
If you cannot attend, please cancel 48 hours in advance
Teacher Information
Is this your first time participating in the program or are you a returning teacher?
First Time
Returning Teacher
If returning, how many years have you participated?
Please select...
1
2
3
4
5
6
7
8
Lead Teacher's First Name
Lead Teacher's Last Name
Lead Teacher's Email Address
Contact Phone Number
School Information
School Name
School Address
School City
School State
School Zip Code
School Phone Number
My school is...
LAUSD
Charter
Private
Other
Please type your answer below
Is your school Title One?
Yes
No
How will you be arriving?
Please select...
Requesting bus scholarship (only applicable for Title One schools within a 15-mile radius)
School Bus
Carpooling
Public Transportation
Classroom Information
Which program will you be attending?
Art+LA (7th - 12th)
Art+Story (3rd - 6th)
Number of Teachers and Chaperones
*Please note: a 1:10 ratio is required for school groups*
Student Information
Please enter information one grade level at a time. If you need to add an additional grade level then please click on the link "Add another response" on the bottom right. When complete please click Next Page to continue.
Maximum of 60 students per visit.
Number of Students
Student Grade Level
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Additional Information
Do you have any multilingual learners students?
Yes
No
Please describe their English proficiency level.
Do you have any students that need special accommodations?
Yes
No
Please describe the accommodations needed
Please provide additional information about your class, including anything that will help support the lessons you plan on providing them in relation to your visit.
Contact Information