Gallery on the Square

110 North Main Street

Franklin, KY 42134

270-586-8055

galleryonsquare@bellsouth.net

ART CLASS SURVEY

Please print and mail to above address

1. Are you interested in taking Art Classes at the Gallery? Yes ______ No _____

2. What classes would you be interested in taking?

¯ Watercolor ____________

¯ Oil painting ____________

¯ Acrylic painting _________

¯ Furniture painting ________

¯ Stained glass ___________

¯ Calligraphy _____________

¯ Drawing _______________

¯ Basketry _______________

¯ Pottery ________________

¯ Photography ____________

¯ Knitting ________________

¯ Quilting ________________

¯ Seasonal Crafts__________

¯ Other (please offer suggestions ) ___________________________

_________________________________________________________

3. StudentÕs age group:

¯ 3 Ð 5 years old _____________

¯ 6 to 10 years old ____________

¯ 11 to 19 years old ___________

¯ 20 and above ______________

4. What time would suit best:

¯ 10:00 Ð noon _______________

¯ 1:00 Ð 3:00 pm _____________

¯ 6:30 Ð 8:30 pm _____________

¯ all day workshop ____________

5. What day of the week would you prefer:

Mon _______Tue_____Wed_____Thur_____Fri_____ Sat____

6. What time of the year would you prefer:

January ÐApril _____ June & July _____ August Ð October ________

7. Have you ever taken a Gallery class before: Yes______ No _________

Please give us any suggestions or comments to help us develop our educational program.

Name:_______________________________ Contact Phone # ___________________

Mailing or e-mail address:_________________________________________________