Booking Request Form Start a dialogue with this program provider by simply filling out the following booking form, which will be emailed to them when you click "Submit this Form". If you would like a copy for your records, please print this screen before pressing submit. Fields with the * symbol are required. Contact Information School * Contact Person * School Address * Home Phone City, State *, * School Phone * Zip * Fax School District * E-Mail * Type of School Elementary Middle School High School     Booking Information Kristin Firework Studio/Glass Art Projects Teacher / Leader * Program Art Glass Projects Grade Level * Contact Name Ms Kristin duCharme Director Number of Students * Contact Phone 800-400-0388 Number of Adults Contact Email info@fireworkstudio.com Preferred Date (mm/dd/yy) *  Contact Address P.O. Box 66215 Los Angeles, CA 90066 Preferred Time (start-end) * Max # of Students 35 at a time Alt Date (mm/dd/yy) *  Duration 1 hour per group Alt Time (start-end) * Fee Approximately $13 per student, exact price depends on class size and specific project selected, please call the studio. Project kits are also available at a reduced cost. Additional Comments Grade Level K-5 Space Requirements Standard classroom & Usual class seating is fine Technical Requirements None. All tools and materials are provided Available Dates Open for scheduling       Art Form Visual Arts       Format Workshop       Subject History Language Arts Mathematics Science       Cultural Origin African European Other
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