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Access AK: Creative Connection Visit Request Form

Creative Connection runs Tuesday through Friday between 10 am and 3:30 pm. Each session lasts 90 minutes. Groups can schedule up to four visits in a six-month period, depending on availability. Program sessions are offered on a first-come, first-served basis.

To request one or more sessions, please complete and submit the form below. For questions, please contact Access & Community Programs Coordinator Karen Duval at 716.270.8249 or

Please fill in all required fields, as marked with the * symbol. Please note that your request is not submitted until you are taken to a separate page with the title "Access AK: Creative Connection Visit Request Confirmation."

Contact Information
Group and Visit Information
Visit 1 Desired Date and Time
Please enter the time using the format "10:00" or "10:30"
Visit 2 Desired Date and Time
Visit 3 Desired Date and Time
Visit 4 Desired Date and Time
The following information will enable us to develop a tour and art activity best suited to your group.
Please give relevant information regarding any special needs, including cognitive, physical, emotional, or behavioral difficulties.
If you would like the Creative Connection program to complement specific aspects of your curriculum or treatment plan, please share any goals you will be working on at the time of your visit.
Input regarding participants’ experience with art is important for our planning. Please answer these questions to assist us.
If you are requesting more than one visit, will the same participants be attending?
Art materials or projects your group has experience with:
Art materials or projects your group is interested in:
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