JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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 c
lasses are open to individuals (
12 and up
)*
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Caregiver Name (First, Last)
*
Your answer
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).
*
Your answer
Mailing Address
*
Your answer
Caregiver Phone Number
*
Your answer
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.)
*
Clay Experience Session #2 Starting September 14th, 2024
Creative Arts Session #2 Starting October 17th, 2024
At any point in your life, were you raised by someone other than your parent(s)?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms