Workshop or Residency Request

Workshop or Residency Request
School / Organization
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Date of Workshop

MonthDayYear
Date
Dates of Residency Request
Number of sessions per day / Workshop*
Number of students in each session*
Session Location
Gym, Auditorium, Cafateria, Outdoors, etc...
Please provide a short description of the type of workshop/residency you are requesting
dance, drumming, fitness, mixed, themed presentation
Please enter name and email to send a quote and/or invoice*
Photo / Video

CCE photographs and video tapes portions of these workshops. Please inform us if there is anyone that CAN NOT be photographed at time of arrival. CCE representatives will adjust their taping accordingly.
Should be Empty:

Photo / Video