{"id":2574,"date":"2026-08-06T10:08:34","date_gmt":"2026-08-06T14:08:34","guid":{"rendered":"https:\/\/www.latchamartcentre.ca\/?page_id=2574"},"modified":"2026-08-06T10:44:10","modified_gmt":"2026-08-06T14:44:10","slug":"off-site-seniors","status":"publish","type":"page","link":"https:\/\/www.latchamartcentre.ca\/fr\/programs\/off-site-seniors\/","title":{"rendered":"Off-Site Seniors"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2574\" class=\"elementor elementor-2574\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-776decbc e-flex e-con-boxed e-con e-parent\" data-id=\"776decbc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66f5da0d elementor-widget elementor-widget-text-editor\" data-id=\"66f5da0d\" data-element_type=\"widget\" data-e-type=\"widget\" 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var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Off-Site Seniors Program (Ages 55+)<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_24'  action='\/fr\/wp-json\/wp\/v2\/pages\/2574' data-formid='24' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_24' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Program Details<\/h3><div class='gsection_description' id='gfield_description_24_35'>Latcham Art Centre provides the opportunity for organizations to learn about and\/or create art within the comfort of the organization&#8217;s location \u2013 we come to you! You can choose from three program types \u2013 Art Presentation only, Art Activity only, or Art Presentation &#038; Activity. This program is offered in Winter (January \u2013 March) and Fall (October \u2013 December). You may select up to 4 sessions for the year. Please refer to our presentation and activity selection list attached at the end of this form for options. A minimum of 10 participants is required, and at this time, we offer this program to organizations located in Stouffville only.<br><br> Cost per presentation only: $7.50 + HST \/ person.<br> Cost per activity only: $15 + HST \/ person.<br> Cost per presentation and combo: $20 + HST \/ person.<\/div><\/div><div id=\"field_24_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Art Presentation and Art Activity Options<\/h3><div class='gsection_description' id='gfield_description_24_54'>Presentations:<br><br>\u2022\tThe Influence of Photography on Modern Art<br>\u2022\tInspired by the Land: Canadian Artists from Coast to Coast<br>\u2022\tArt and Everyday Objects<br><br>Activities:<br><br>\u2022\tScratch board art<br>\u2022\tCollage<br>\u2022\tOil Pastels<br>\u2022\tChalk Pastels<br>\u2022\tCharcoal<br>\u2022\tPainting (watercolour or acrylic)<\/div><\/div><div id=\"field_24_55\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Application Form<\/h3><\/div><div id=\"field_24_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_1'><span class='gform-field-label__text'>Organization \/ Senior Home Name:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_24_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_3\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_3'><span class='gform-field-label__text'>Address of Home:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_24_3' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_24_4\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact Person\u2019s Full Name:<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_24_4'>\n                            \n                            <span id='input_24_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_24_4_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_24_4_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_24_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_24_4_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_24_4_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_24_5\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_5'><span class='gform-field-label__text'>Title \/ Role:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_24_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_6'><span class='gform-field-label__text'>Email:<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_24_6' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_24_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_7'><span class='gform-field-label__text'>Phone:<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_24_7' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_24_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_8'><span class='gform-field-label__text'>Today&#039;s Date:<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_24_8'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_8'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_24_8' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_24_8' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_24_8' aria-label='Today's Date:: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_24_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Session 1<\/h3><\/div><fieldset id=\"field_24_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Program Type (select one):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_10'>\n\t\t\t<div class='gchoice gchoice_24_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Art Presentation only | 30 minutes (Engaging talk with visuals about art, artists or history)'  id='choice_24_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_10_0' id='label_24_10_0' class='gform-field-label gform-field-label--type-inline'>Art Presentation only | 30 minutes (Engaging talk with visuals about art, artists or history)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Art Activity only | 45 minutes (Guided creative hands-on session where residents create their own artwork)'  id='choice_24_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_10_1' id='label_24_10_1' class='gform-field-label gform-field-label--type-inline'>Art Activity only | 45 minutes (Guided creative hands-on session where residents create their own artwork)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Art Presentation &amp; Art Activity | 1.25-hours'  id='choice_24_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_10_2' id='label_24_10_2' class='gform-field-label gform-field-label--type-inline'>Art Presentation &amp; Art Activity | 1.25-hours<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_11'><span class='gform-field-label__text'>Presentation Topic \/ Art Activity:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_24_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_12\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_12'><span class='gform-field-label__text'>Preferred Date(s) and Times(s):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_24_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_14'><span class='gform-field-label__text'>Estimated Number of Participants:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_24_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_15'><span class='gform-field-label__text'>Average Age Range:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_24_15' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Session 2<\/h3><\/div><fieldset id=\"field_24_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Program Type (select one):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_32'>\n\t\t\t<div class='gchoice gchoice_24_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Art Presentation only | 30 minutes'  id='choice_24_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_32_0' id='label_24_32_0' class='gform-field-label gform-field-label--type-inline'>Art Presentation only | 30 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Art Activity only | 45 minutes'  id='choice_24_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_32_1' id='label_24_32_1' class='gform-field-label gform-field-label--type-inline'>Art Activity only | 45 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Art Presentation &amp; Art Activity | 1.25-hours'  id='choice_24_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_32_2' id='label_24_32_2' class='gform-field-label gform-field-label--type-inline'>Art Presentation &amp; Art Activity | 1.25-hours<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_17'><span class='gform-field-label__text'>Presentation Topic \/ Art Activity:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_24_17' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_18'><span class='gform-field-label__text'>Preferred Date(s) and Times(s):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_24_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_19'><span class='gform-field-label__text'>Estimated Number of Participants:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_24_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_20'><span class='gform-field-label__text'>Average Age Range:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_24_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Session 3<\/h3><\/div><fieldset id=\"field_24_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Program Type (select one):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_30'>\n\t\t\t<div class='gchoice gchoice_24_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Art Presentation only | 30 minutes'  id='choice_24_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_30_0' id='label_24_30_0' class='gform-field-label gform-field-label--type-inline'>Art Presentation only | 30 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Art Activity only | 45 minutes'  id='choice_24_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_30_1' id='label_24_30_1' class='gform-field-label gform-field-label--type-inline'>Art Activity only | 45 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Art Presentation &amp; Art Activity | 1.25-hours'  id='choice_24_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_30_2' id='label_24_30_2' class='gform-field-label gform-field-label--type-inline'>Art Presentation &amp; Art Activity | 1.25-hours<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_22'><span class='gform-field-label__text'>Presentation Topic \/ Art Activity:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_24_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_23'><span class='gform-field-label__text'>Preferred Date(s) and Times(s):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_24_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_24'><span class='gform-field-label__text'>Estimated Number of Participants:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_24_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_25'><span class='gform-field-label__text'>Average Age Range:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_24_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Session 4<\/h3><\/div><fieldset id=\"field_24_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Program Type (select one):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_53'>\n\t\t\t<div class='gchoice gchoice_24_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Art Presentation only | 30 minutes'  id='choice_24_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_53_0' id='label_24_53_0' class='gform-field-label gform-field-label--type-inline'>Art Presentation only | 30 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Art Activity only | 45 minutes'  id='choice_24_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_53_1' id='label_24_53_1' class='gform-field-label gform-field-label--type-inline'>Art Activity only | 45 minutes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Art Presentation &amp; Art Activity | 1.25-hours'  id='choice_24_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_53_2' id='label_24_53_2' class='gform-field-label gform-field-label--type-inline'>Art Presentation &amp; Art Activity | 1.25-hours<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_52'><span class='gform-field-label__text'>Presentation Topic \/ Art Activity:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_24_52' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_51'><span class='gform-field-label__text'>Preferred Date(s) and Times(s):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_24_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_49\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_49'><span class='gform-field-label__text'>Estimated Number of Participants:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_24_49' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_50'><span class='gform-field-label__text'>Average Age Range:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_24_50' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_48\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Room Location and Set Up<\/h3><\/div><div id=\"field_24_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_37'><span class='gform-field-label__text'>Number of Tables:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_24_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_38'><span class='gform-field-label__text'>Number of Chairs:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_24_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_24_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Available Equipment:<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_24_40'><div class='gchoice gchoice_24_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Projector \/ Screen'  id='choice_24_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_40_1' id='label_24_40_1' class='gform-field-label gform-field-label--type-inline'>Projector \/ Screen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_24_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Table for Art Supplies'  id='choice_24_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_40_2' id='label_24_40_2' class='gform-field-label gform-field-label--type-inline'>Table for Art Supplies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_24_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Sink \/ Water Access'  id='choice_24_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_40_3' id='label_24_40_3' class='gform-field-label gform-field-label--type-inline'>Sink \/ Water Access<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_24_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Other'  id='choice_24_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_40_4' id='label_24_40_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_42\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_42'><span class='gform-field-label__text'>Other available equipment to be noted:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_24_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_43\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Special Considerations<\/h3><\/div><div id=\"field_24_44\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_44'><span class='gform-field-label__text'>Accessibility Needs (mobility, vision, hearing, etc.):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_24_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_45\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_45'><span class='gform-field-label__text'>Additional Notes or Requests:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_24_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_24' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_24' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_24' id='gform_theme_24' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_24' id='gform_style_settings_24' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_24' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='24' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='lXw5kAnRM4\/KcgjgzIz5KSWK\/3Mk2utuWs29SqoE0yMU22Gg0VhrEIH+DXICaRzK09Pa7mjq025beiN4ufG+pBL4gmrviYDMmsvR6AERX49ShAI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_24' 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