Lenore Ross Curating Program Registration Thank you for your interest, we look forward to working with you! Artist Teacher's Name* First Last School* Grade(s) or age group(s) currently working with* Address* Street Address Address Line 2 City ZIP Code Phone*Email* Emergency Contact Name and Phone* Check all that apply: I can attend the Saturday, January 14 workshop (9am-3pm) I cannot attend the Saturday, January 14 workshop but would still like to participate I would like to be included in the free lunch offered with the program I plan to bring my own lunch Please add me to PAAM's email list I'd like to find out more about opportunities for students and teachers to be involved with PAAM Please list any health concerns, learning differences, or food allergies we should be aware of:
