Outreach Request Form Thank you for your interest in our outreach programs at Philadelphia’s Magic Gardens! Please fill out the form below with as much information as possible and we will contact you shortly with availability.Outreach Contact Name(Required) First Last Outreach Contact Email(Required) Organization Name(Required) Organization AddressTravel fees may apply for travel outside of Central Philadelphia. Street Address Address Line 2 City ZIP Code Number of participants(Required) Age Range of Participants I am interested in a program for: Kids & Teens Adults Other Type of Outreach Program for Kids/Teens1 hour program for up to 25 people with age-appropriate information about Philadelphia’s Magic Gardens, mosaics, and more, includes hands-on artmaking activity (Please choose one) Lasagna mosaics, recommended for ages 3-10 ($125/hour) Foam sticker mosaics, recommended for ages 3-8 ($125/hour) Mosaic medallions, recommended for ages 5-18 ($125/hour) Tile fridge magnets, recommended for ages 5-18 ($125/hour) Mosaic suncatchers, recommended for ages 5-18 ($125/hour) Mexican hojalata tin art, recommended for ages 6-18 ($125/hour) Tile mosaics, recommended for ages 10-18 ($175/hour) Found object assemblages, recommended for ages 6-18 ($175/hour) Wooden Animals inspired by Mexican Alebrijes, recommended for ages 4-18 ($175/hour) Type of Outreach Program for Adults1 hour presentation about one of the following topics (Please choose one) General Presentation about PMG Art Environments Mexican Folk Art Add-on Activities for Adult PresentationsEnhance your presentation with a hands-on artmaking project (Please choose one) Mosaic medallions (+$25) Bottle cap magnets (+$25) Tile fridge magnets (+$25) Mosaic suncatchers (+$25) Tile mosaics (+$50) Found object assemblages (+$50) Hojalata tin art (+$25) Wooden animals inspired by Alebrijes (+$50) Please describe the type of outreach program you are interested in. Preferred Outreach Date(Required) Month Day Year Preferred Visit Time(Required) Hours : Minutes AM PM AM/PM Alternate Dates and Times Please add any additional information below:Are any special accommodations required?How did you hear about PMG outreach? Δ
