Family Programs Registration - Fall 2010 Thank you for completing this registration form. The $5 payment is not required in advance; it can be paid upon arrival at the Museum. Also, please note that all Art for Tots programs are from 10:30-11:45, and all Art for Families programs are from 10:30-12:30. Programs begin promptly at 10:30. Question Title Contact Information Name: * Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Country: * Email Address: Phone Number: * Question Title Number of adults who will attend One (1) Two (2) Question Title Number of children who will attend one (1) two (2) three (3) four (4) Question Title How old are the children who will be attending this program? Question Title Please indicate relevant memberships: I am a Noguchi Museum member I am a member of Cool Culture I am not a member of either the Noguchi Museum or Cool Culture Question Title Which Art for Tots (ages 2-4) Programs would you like to register for? Sunday, September 19 -- Work Together: Painting With Your Hands Saturday, September 25 -- Work Together: Painting With Your Hands Saturday, October 9 Work Together: Painting With Your Hands (JAPANESE LANGUAGE WORKSHOP) Sunday, October 17 -- Balance: Working With Wood Saturday, October 30 -- Work Together: Painting With Your Hands Saturday, October 23 -- Balance: Working With Wood Saturday, November 13 -- Friendship: A Collage Workshop Saturday, November 20 -- Balance: Working With Wood Saturday, November 27 Friendship: A Collage Workshop (JAPANESE LANGUAGE WORKSHOP) Saturday, December 18 -- Friendship: A Collage Workshop Sunday, December 19 -- Friendship: A Collage Workshop Question Title Which Art for Families (Ages 5-11) Programs would you like to register for? Saturday, September 18 -- Exploring Texture: A Printmaking Workshop Sunday, September 26 -- Exploring Texture: A Printmaking Workshop Saturday, October 2 -- Illuminate: Making Art With Light Saturday, October 16 -- Take Away: Reductive Sculpting Sunday, October 24 -- Illuminate: Making Art With Light Sunday, October 31 Illuminate: Making Art With Light (JAPANESE LANGUAGE WORKSHOP) Saturday, November 6 -- Exploring Texture: A Printmaking Workshop Sunday, November 21 Exploring Texture: A Printmaking Workshop (JAPANESE LANGUAGE WORKSHOP) Saturday, December 4 -- Take Away: Reductive Sculpting Saturday, December 11 -- Illuminate: Making Art With Light Please note, you will receive an email or phone call confirming your registration in early September. You are not registered for these workshops until you receive this email or phone call. if you have any questions, please email education@noguchi.org or call (718)204-7088 X203. Thank you. Done