Info to be listed in program:

Title of Activity:
Presenter's name:
Type:	Activity Class or discussion Sweat Music performance Closed activity
Attendees:	All ages For adults, but children may attend Restricted to adults only Teen Ages 6 - 12 Under age 6 Closed--limited to members of my group
Length:	1/2 hour 1 hour 2 hours
Material fee:	(to be paid by participants)*
Workshop Description:
Presenter's biography:

Closed activities will not be listed in the program, but an activity proposal should be prepared to reserve space for the activity.

* Presenter is responsible for collecting material fees from participants.

Info not listed in program:

Contact name:
Telephone:
Email:

Preferred time and day of activity

	Day	Time
1st Choice	Thursday Friday Saturday Sunday	Before breakfast Late Morning Afternoon Early evening Night
2nd Choice	Thursday Friday Saturday Sunday	Before breakfast Late Morning Afternoon Early evening Night

Special Needs

Electrical outlet Water outlet

Need to park vehicle/trailer by location

Must be indoor Must be outdoor

Shady area Sunny area

Fire circle Sweat circle

Other special needs (tables, chairs, etc.):