Art for Tots - Early Registration for Family Members

Thank you for completing the following Art for Tots registration form. All Art for Tots programs are from 10:30-11:45am, and begin promptly at 10:30am. The fee is waived for Family level members and above.

Please note advanced registration is a benefit exclusive to Family level members and above.

Contact Information

First name: *

Last Name: *

Child(ren) first name(s) :

Address: *

City/Town: *

State: *

ZIP: *

Country: *

Email Address: *

Phone Number (555-555-5555): *

Number of adults who will attend

Adult(s): *

One (1)

Two (2)

Number of children who will attend

Child(ren): *

One (1)

Two (2)

Three (3)

Four (4)

How old are the children who will be attending this program?

Child(ren) age(s): *

Two (2)

Three (3)

Four (4)

Please indicate the birthdate(s) of the child(ren) attending: *

...:

Please indicate relevant memberships. Please note advanced registration is a benefit exclusive to Family level members and above. : *

I am a Noguchi Museum member

Note

Please note, your family's registration is not complete until you receive a confirmation via email or phone. Confirmations will be delivered by December 28, 2012 or earlier. If you have any questions, please email education@noguchi.org or call (718)204-7088 X203. Thank you.

MUSEUM ENTRANCE: 9-01 33rd Road (at Vernon Boulevard), Long Island City, NY 11106 p: 718.204.7088 Directions

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