Let's Look at Art presentations are for students in Santa Clara County. Program dates are September – May, each school year. Please fill out this registration form completely. 1 Start 2 Complete Name of contact person * Title or role * Work email * Alternate email School phone number plus extension * Alternate phone number School name * School district * School address * Does your school receive Title 1 funding? * Yes No Grade level(s) * Number of classes * Number of students in each class * To fulfill your request, we need the following information for ALL participating teachers: Grade levels, teachers' names, Teachers' email addresses * Number of special needs students * Are any of the classes designated as Special Day Classes (SDC) * Yes No IF you have any special needs students, please tell us a little bit more about their needs. Please include the number of aides who will attend the presentation. (Otherwise put N/A). * Is there anything else you would like to tell us about your group? * Would you like to receive emails about events, exhibitions, and other programs from SJMA? * Yes No By providing your email address you opt in to receive regular emails from SJMA. Have you received a Let’s Look at Art presentation before? * Yes No How did you hear about the Let’s Look at Art program? * LLAA email Program recommended by a colleague Other source: Other
