Name *

First Name

Last Name

Phone *

(###)

###

####

Are you Interested in Teaching a Class at Presser Arts Center? *

Choose One

Yes

No

Are you interested in taking a class at Presser Arts Center? *

Yes

No

Maybe

What day of the week works best for classes?

Choose all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What Time of Day?

Choose all that apply

Morning (9am-12pm)

Early Afternoon (12pm-3pm)

Late Afternoon (3pm-6pm)

Evening (6pm-9pm)

How Much are you willing to pay for a 3 hour workshop?

Choose All that Apply

$20-30

$40-50

$50-75

$75-100

How Much are you willing to pay for a 6 Week Class?

Choose All that Apply

$50-100

$100-150

$150-200

$200+