Outreach Program Request

At least 3 weeks notice is requested to book outreach activities.

Capacity for group size varies depending on program location. Please complete the form below and we will contact you to plan your experience.

Please note, your form has not been submitted until you see a red box at the top of the page that says “Outreach Request Received”.

Outreach Program Request Form

Contact Information
Name*
First Last
Organization*
Organization Address*
Street Address Address Line 2 City State ZIP Code
County*
Cell Phone (for day of program logistical contact)*
Email*
Group Information
Group Size*
Please enter a number from 10 to 30.
Please note, there are some limitations for group size at the Museum and we generally limit on-site programs to 30 people. If your group is larger, we will try to accommodate you.
Please list the age range for your participants.*
What type of experience are you interested in?*
Are there any special needs in your group? (Please list disabilities, special languages, or any other information that can help us plan the best experience for your group.)
Anything else you would like us to know?
Do you wish to apply for a fee waiver or transportation subsidy? (Qualifying groups serve individuals who lack basic access to arts programs due to factors such as geography, economic conditions, ethnic background, or disability.)*
How did you hear about us?*
Scheduling
Please list three different dates and times, in order of preference.
Programs at the Museum are offered Tuesday-Sunday between 10 am and 5 pm. Offsite programs are offered Monday - Sunday, 9 am to 8 pm. All programs pend availability and require 3 weeks notice to schedule.
First Preference
Date*
Time*

: HH

MM
Second Preference
Date*
Time*

: HH

MM
Third Preference
Date*
Time*

: HH

MM
A Museum representative will be in touch to plan your program with you. Program requests are processed in the order they are received.

Outreach Program Request Form

Contact Information

Group Information

Scheduling

Follow The Clyfford Still Museum

Hours

Address

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