Field trip registration and deposit form

Register for your Field Trip
E-mail *
The Field Trip 'pARTi' will be in ... *

Summer School year
If given a CODE, please enter it HERE ...
CODE
Name of group *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Contact name *
Cell number of contact

Area Code Phone Number
Please check one…

The Arts Corner (TAC) is coming to your site You are coming to TAC’s specified site You are doing a TAC Virtual Field trip
Date of field trip *

Month Day Year
Time(s) of field trip *
Additional field trip date (if applicable)

Month Day Year
Date
Total number of students (approx.) *
Grade levels *
Anticipated number in each grade level (approx.)
You may also add any other relevant information here.
Please acknowledge your agreement with the following *

This completed form was reviewed, the information is correct
*

TAC's artwork design was received (see invitation) and is approved
Photo/Video release forms are on site. TAC may take general photos. (NOTE: release forms are available on TAC’s website for parents/ guardians). Please contact us if necessary.
*

A change fee is applicable to revise dates or art once submitted.
My Products
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REGULAR pARTi Save-the-Date deposit - Artist on site fee. $ 60.00
Artist fee payment required in order to Save-the-Date & BOOK-A-pARTi

BLACK LIGHT pARTi Save the Date FULL deposit $160. $ 160.00
Black light equipment use/setup fee payment PLUS Artist fee. Required in order to fully BOOK-A-BLACK LIGHT pARTi

Student painting seat (includes paint kit) $ 15.00
This is our Group Discount price. Please select how many students will be attending

Quantity

Total $ 0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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Register for your Field Trip