Family Programs Registration - Fall 2010 Survey

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.

Contact Information(Required.)

Name:

Address:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

Number of adults who will attend(Required.)

One (1)

Two (2)

Number of children who will attend(Required.)

one (1)

two (2)

three (3)

four (4)

How old are the children who will be attending this program?(Required.)

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

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.