FESTIVAL DAY: TEACHER REGISTRATION

FORM MUST BE RETURNED TO ACT BY THURSDAY, FEBRUARY 19, 2015

MAIL: 1140 Monroe Ave NW, Suite 4101 Grand Rapids, MI 49503

Festival Day is for classrooms with

students age 7 and up. If your
students are age 6 or younger,
please disregard this form as you
have received it in error.

Mark your calendar Festival Day is Friday, May 8, 2015!

E-MAIL: coordinator@artistscreatingtogether.org

________________________________________________________________________________________________________________________________________
Teacher Name
Teacher E-mail
_______________________________________________________________________________________________________________________________________
School
School District
_______________________________________________________________________________________________________________________________________
Main Office Phone Number
Teacher Phone Number

Does your class need to leave Festival Day Early (ends at 1:20pm)? Yes____

No____

If so, at what time? ______________

GRPS ONLY: Do you need busing? Yes____ No_____ (ACT may receive donated bussing for all GRPS classrooms. ACT will inform you of this by March 30)
Number of Students attending Festival Day: __________
Students Ages: ______________

Number of Adults/Teachers/Aids attending Festival Day: __________

Students Developmental Ages: _______________

Number of Students in Wheelchairs: __________

Type of exceptional students (please indicate the NUMBER of students in each category. If students have more than one disability,
please indicate the number of all that apply):
_______ Autism Spectrum Disorder

_______ Blind/VI

_______ Cognitive Impairment

_______ Deaf/HI

_______ Emotional Impairment

_______ Other Health Impairment

_______ Physical Impairment

_______ Severe Multiple Impairment

_______ Speech & Language Impairment

_______ Specific Learning Disability

_______ Traumatic Brain Injury

_______ Other (please list): ______________________________________________________________

FESTIVAL DAY ACTIVITIES: Festival Day begins with an opening ceremony, after which your classroom will go to your pre-assigned art workshops
(you will receive this schedule on the morning of Festival Day) and designated lunch hour.
**PLEASE NOTE: If your group is comprised of more than 15 students, you will automatically be scheduled for large group activities (mask-making,
arcades, performances, etc.) as most of our individual artists, particularly in visual arts, cannot work with more than 15 at a time.
If your students need special accommodations for lunch, please note them here (i.e. if your students require a long lunch period, need to eat lunch earlier
in the day, etc.):
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Check which Festival Day activities listed below are appropriate for your students. List your priority choices #1, 2, 3 if desired. We will make every attempt
to fulfill requests and assign appropriate workshops on Festival Day.
________

Dance Workshop: Creative movement, hip hop dance, world dance, etc.

________

Drama Workshop: Theater games, puppetry, storytelling, etc.

________

Music Workshop : Sing-along, instrumental, drumming, etc.

________

Mask-Making: Students will get to create a mask of their hand with plaster strips, and paint & decorate it to their liking!

________

Visual Art Workshop: Painting, drawing, collage, mixed media, etc.

________

Sensory Tent (Arts Arcades): Large outdoor tent area with a variety of fun, sensory activities, face-painting, make-and-take crafts, and more!

If you have any special requests or if there are activities you DO NOT want to be scheduled for, please note them here. We cannot guarantee that all
requests will be fulfilled, but we will make every effort to satisfy your needs:
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

Questions?

Contact Becky Baker, ACT Program Coordinator, at

coordinator@artistscreatingtogether.org or 616-885-5866.