Dance Workshop: Art & Creative Movement in the Garden

First Name *

Last Name *

Email *

Phone 1 *

School Name (please write the official name). *

Ward *

Is your school considered Title I? *

Yes

No

Please select the grade levels of students that will be attending: *

Which date(s) are you requesting for "Dance Workshop: Art & Creative Movement in the Garden"" at Hillwood? Check all that apply: *

10/07/2026

10/14/2026

10/21/2026

10/28/2026

Number of students attending: *

Number of adult chaperones attending: *

How many separate classes make up the total number of students above? *

Please provide the name and email of your school's Principal. *

If you are filling out this form on behalf of another teacher, please list their contact information here (Name, email, and phone number):

Transportation Method: *

Do any of your students have accessibility needs or require other accommodations (limited mobility, neurodivergent, visual or hearing impairments, etc.)? *

If yes, please share. The more we know about your students, the better we are able to serve them!

Will you need a wheelchair accessible bus? *

If available, will you need printed materials in:

Spanish

Amharic

Have you ever signed up for an arts and humanities field trip before now? *

Yes

No

Did you turn in the appropriate field trip application upon requesting this program? *

I will ensure that my students and I will complete reflections provided by the DC Collaborative within 1 week of completing the learning experience. *

I have read, understand and will abide by the School Partner Community Standard form. *

Yes

No