Arts Education Project Request

Please fill out the below form, or contact Andrea Bansil, Education Projects Manager, at andrea@batterydance.org 

Reminder: This form is for school programming only, not for individuals. 

    Your Name (required)

    Your Email (required)

    Your Phone (required)

    School Name (required)

    School Address (required)

    School Phone (numbers only) (required)

    Grade Levels (required)

    Title 1? (required)
    YesNo

    ICT/Special Needs/ELL's? (required)
    YesNo

    If YES, Please describe your individual school / student needs

    What is your estimated budget?

    Please indicate a date/time for a site visit (required)

    Desired Programming: (required)

    Please indicate any additional program needs (i.e. areas of focus, desired language for classes if different from English, etc.)