School Information
School Name*
Lead Teacher/School Staff Contact Name*
Contact E-mail Address*
Contact Phone Number*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
First Preferred Month for the Program*
Second Preferred Month for the Program*
Third Preferred Month for the Program*
Arrival Time to Cheekwood
Preferred Grade for Program*
Total Number of Students to Participate in the Program*
Total Number of Adult Chaperones to Attend the Program*
Note: Adult chaperones, just like students and teachers, receive free admission and free parking for the Cheekwood Explorations: Read, Paint & Plant program!
Total Number of Teachers to Attend the Program*
Total Number of Classes to Participate in the Program*
Is your school Title I?*
- Yes
- No
Has your school participated in any Cheekwood programs in the past?*
- Yes
- No
Please briefly explain how Cheekwood Explorations: Read, Paint & Plant would enhance or benefit your student’s learning experience. In other words, why do you want your school to participate in this program?*

Cheekwood Explorations: Read, Paint & Plant Application

School Information