The Noguchi Museum

Family Programs Registration - Art for Tots

Submitted by admin on Mon, 10/04/2010 - 12:56am

Family Programs Registration - Art for Tots

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 cost is $10 per family, and can be paid upon arrival.

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: *

I am a Family level or above Noguchi Museum member

I am a member of Cool Culture

I am not a member of either The Noguchi Museum (Family level or above) or Cool Culture

Which Art for Tots (ages 2-4) programs would you like to register for? (Programs not listed are closed): *

Please add me to the mailing list for the next season of programs

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. If you have any questions, please email education@noguchi.org or call (718) 204-7088 x203.

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

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