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Heritage Center - Programming Request Form

  1. Please note: You are not booking your class/program/camp by filling out this form. This is a formal request only. Staff will contact you as soon as possible via the email listed within this application. Thank you!
  2. APPLICANT INFORMATION
  3. PROGRAM INFORMATION
  4. Facility Type:*
  5. Program Format:*
  6. City Supplies Requested:*
  7. Days of Camp/Class/Workshop:*
  8. Include Start and End Time.
  9. In 15 minute increments (15, 30, 45,...)
  10. Include item names and cost per item
  11. How can students pay their Supply Fee?*
  12. CLIENT ACKNOWLEDGEMENT
  13. Please acknowledge that open flame, glitter, confetti, feathers, hay, or similarly messy materials are prohibited in our spaces.*
  14. Leave This Blank:

  15. This field is not part of the form submission.