Class Proposal Form

Name ______________________________________ Email ______________________________________

Day Phone ___________________ Evening Phone ____________________ Cell ___________________

Address _________________________________________________________________________________

Artistic Medium __________________________________________________________________________

Class or Workshop title ___________________________________________________________________

Day of week, 1^st choice ___________________________ 2^nd choice ___________________________

Time of day, 1^st choice _from__________to__________ 2^nd choice _from_________to__________

Number of sessions for class (between 1 and 8)____________________________________________

Minimum number of students if more than 5 _______________ Maximum number _____________

Age range ( ex. -preschool, 6-9, 8-12, 10-13, teen (how young?) to adult ___________________

Cost of materials for 1 student (will be included in price of class) ___________________________

Description of class (to be published in brochure) __________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Teacher biography (to be published in brochure) __________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do you have an electronic version of one or more pieces of your work and/or a picture of yourself for possible use on our website or in our brochure? If so, please email them to:

info@thegibby.com. Thanks!

Office Notes: ____________________________________________________________________________