Restoreforlife, Inc. Connecting Through the Arts: Caregiver and Youth Registration Form
Discover the Power of Connecting Through the Arts with Restoreforlife Inc.

Location: 216 W. Tully Street, Syracuse, NY 13204
Contact us at (315) 552-1529 or restoreforlifeinc@gmail.com.

*3-week classes are open to individuals (12 and up)*
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Email *
Caregiver Name (First, Last) *
Please list the First and Last name(s) of youth in your care (12 years or older) you plan to bring with you. Please also include their age(s). *
Mailing Address *
Caregiver Phone Number  *
Course Schedule

Clay Experience Session #2
  • Classes every Tuesday from 6pm-8pm (September 10, 17, 24) (October 1, 8)
  • Open Studio every Saturday from 10am-1pm (September 14, 21, 28) (October 5)

Creative Arts Session #2
  • Classes every Thursday from 6pm-8pm (October 17, 24, 31) (November 7, 14)
  • Open Studio every Saturday from 10am-1pm (October 19, 26) (November 2, 9)

Class Selection: (See detailed schedule above.) *
At any point in your life, were you raised by someone other than your parent(s)?  *
A copy of your responses will be emailed to the address you provided.
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