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Surface:Layered Registration Form


________________________________________________________________________
Name (Please print)

________________________________________________________________________
Address

_________________________________________________________________
       City                              State                                              Zip

(__________) ____________________________
Telephone

_______________________________________________________
E-mail

Use one form per person only. Photocopy this form for friends or your records.
Indicate your 1st and 2nd choices in left column. (NOTE: DO NOT list a class as an alternate unless you are willing to accept it if your other choices are full.) Include payment for your 1st choice class. Classes not meeting minimum requirements may be canceled. Telephone registration is accepted.

 

July28

July 29

July 30

July 31

August 1

 

Joanne Tallarovics (Puttin’ on the Rips, $300, 5 Days)

 

Darcy Falk (Going Down your Own Road, $200
3 Days)

Adriene Buffington (Hand-Dyed Fabric Extravaganza, $175, 2 Day)

 

Barb Wills (Printing on Silks $200, 3 Days)

Melanie Testa (Direct Dye Painting and Composition) $175
2 Days

 

Carol Soderlund (Color Mixing for Dyers, $375, 5 Days)

 

Kathyanne White (Creating Designs on Textiles and specialty paper from digital prints $200,
3 Days)

 

 

 

 

Workshop participant slide show (free)

Trunk Show Presentation by MelanieTesta
($5)

Carol Soderlund Slideshow Lecture and Dinner event ($40)

Performance of "The Quilts of Gee's Bend" by Canyon Movement Company

Housing Information
On campus housing is available at Northern Arizona University at very affordable rates.
         $18 double, $24 single, $36 couple
On campus housing arrangemenbts must be made through NAU.
Meal cards are also available through NAU Dining Services
Register for rooms online at http://www4.nau.edu/reslife/Workshop.asp
For meal cards, if desired, call 928-523-2372
For information on NAU housing call Cheryl Schrader at 928-523-7637

I would like to participate in the workshop participants slide show on Thursday July 31.___________
Please mail up to two slides (with or without detail shots) of your best work, to be recieved by July 14, 2008 to Melanie Testa P.O. Box 36 Flagstaff AZ 86002. Please send a three line statement for each work of art as well. This should include materials and date completed. Also include a S.A.S.E if you cannot collect your slides in person after the presentation.

I plan to attend the Trunk Show Presentation given by Melanie Testa (at an additional cost of 5.00)

I plan to attend the Carol Soderlund Lecture and Dinner event on Friday August 1(at an additional $40 cost, general public is welcome to attend) ____________________

Total amount due ________________
Check enclosed for total payment due by July 23, 2008

..............................................................................................................................
Signature Without your signature on the preceding line, your registration cannot be processed.

For more information or to register contact:
Lee Vadnais 928-526-7654 Lee.Vadnais@COCONINO.EDU     or
Sue Minger 928-526-7644 susan.shaw.minger@coconino.edu

Make checks out and mail completed form to:

Coconino Community College
C/O Lee Vadnais
3000 N. Fourth St.
Flagstaff, AZ 86004-18925

Supply lists will be available in the mail by upon receiving registration. Kit fees have been included in the price of the class

 


2800 S. Lone Tree Road
Flagstaff, AZ 86001