Please provide the following information to help us determine 
the workshop nearest you, and send you details on how you 
can attend. From this information we will also plan workshops 
in your area.

Name
Mailing Address
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Date of birth		Years experience in art:	0 1 2 3 4 5 6 7 8 9 more
Sex	Male Female	Years training in art	0 1 2 3 4 5 6 7 8 9 more

What art training have you had?

What experience do you have in art?

What do you hope to accomplish by coming to the workshop?

List chalk artists who are interested in your area, ages, relationships and email addresses. If there is enough interest we will plan a workshop in your area.

Do you know of an organization in your area interested in hosting a workshop?

Host Name
Street address
Mailing Address
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail
URL