Workshop Instructor Registration

Instructors Workshop Registration
CONTACT INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Website
Skill Level

Other
Payment Structure you require

Other
Are all supplies included in this class
What do students need to bring
Any Special Skills needed for this class
Special Skills Needed Please list below
What do you need from North Broward Arts
Do you want Pre Registered Only
Will you take late sign ups on the day of your Class
Number of Days for your Workshop
How Many Hours a Day will you need for your class
When do you want to have this workshop
What day of the week do you want to have this workshop
Additional Comments / Request (Please list below).
Please email the following to nbarts2526@gmail.com
1. Some sample images
2. Your Bio
3. Head Shot
4. Any reference web links.
Thank you for taking your time to fill out our form.

You will hear from one of our Board Members Soon.

Sincerely

North Broward Arts, Inc

904-553-3080

northbrowardarts.com

nbart2526@gmail.com
Should be Empty:

Instructors Workshop Registration