Regular
Regular
After-School
After-School
Name
Address
Email Address
Position
Phone
Fax
School
Borough
Curriculum Per Class Note: you can mix up your program...Example... 1 class/12 weeks Program 4 weeks Crafts, 4 weeks Sculpture, 4 weeks of Dance...Etc. Choose a program (s) of your choice below:
Visual Arts
Make Selection
Crafts
Sculpture
Drawing
Painting
Performing Arts
Make Selection
Swing
Dance - African
Dance - Modern
Native American
Instrumental - African
Theatre-Slave Narratives
How many classes involved?
Class/Grade
How many weeks?
Make selection
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11 weeks
12 weeks
Day (s) of week
Mon
Tue
Wed
Thur
Fri
Sat
Time
- - Choose One - -
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
Regular
Regular
After-School
After-School
Selection 2
Visual Arts
Make selection
Crafts
Sculpture
Drawing
Painting
Performing Arts
Make selection
Swing
Dance-African
Dance-Modern
Native American
Instrumental-African
Theatre-Slave Narratives
Class/Grade
How many weeks?
Make selection
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11 weeks
12 weeks
Day (s) of week
Mon
Tue
Wed
Thurs
Fri
Sat
Time
- - Choose One - -
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
Regular
Regular
After-School
After-School
Selection 3
Visual Arts
Make selection
Crafts
Sculpture
Drawing
Painting
Performing Arts
Make selection
Swing
Dance-African
Dance-Modern
Native American
Instrumental-African
Theatre-Slave Narratives
Class/Grade
How many weeks ?
Make selection
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11 weeks
12 weeks
Day (s) of week
Mon
Tues
Wed
Thur
Fri
Sat
Time
- - Choose One - -
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
Regular
Regular
After-School
After-School
* Do you wish to have a Staff Development for your teacher before the program starts?
Staff Teacher
Yes
No
Performance/Exhibit
February
June
Comments