Therapeutic Art Program Registration: Paint Cafe

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The Voice of Art

Virtual Gallery

Therapeutic Art Program for Older Adults

Paint Café

Vincent van Gogh: “Starry Night”

Tuesday, April 23 (1:30-4:30pm)
Location: "Noble Horizons" (17 Cobble Rd, Salisbury, CT)
Studio Art Supply Fee required.

Learn More

Registration Form

Full Name ( First / Last )

Email

Street Address

Name of Emergency Contact ( First / Last )

Your Age

Primary Phone

Town / City

Emergency Contact Number:

Select an option

Resident of Noble Horizons

Non-Resident of Noble Horizons

Commute to the Art Class:

I will drive myself

Someone (family/friends) will give me a ride

Noble Horizons will provide a ride

Art Learning Experiences

Never

K-12 School Art Classes

Adult Edu/Continuing Edu

Local Art Programs

Others

If your choice is "Other," Add answer here:

Why Would You Like to Take This Class?

How did you find out about us?

Thanks for your registration.

We'll get back to you soon!

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Therapeutic Art Program for Older Adults

Paint Café

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Vincent van Gogh: “Starry Night”

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Registration Form

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