Registration form

Check here for; Tribal Workshop Registration with HAIFA  ___________

Saturday, May 3rd, 2008  2 PM to 4:30 PM  at  The Art School                                    $25 before April 26th,  $30 after

Name:  ________________________________________________       phone:  ___________________________

email:  ________________________________________________       cell phone:  _________________________

Address:  ___________________________________________________________________________________

Check amount:  $___________________       check number:  ___________________           
check here if paying cash:  _____ (please do not send cash in the mail!)

Fill out names below only if you are a teacher bringing students:                 

Student names:  _____________________                                                _____________________
                 
                          _____________________                                                _____________________

                           ________________________
__________________________________________________________________________________________________________
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Check here for; Malaya Lef  Workshop registration with DIANA SHAHEIN  _________

Saturday, June 21 st, 2008    1:30 - 4 PM   at  The Art School                $25 by June 14th,  $30 after

Name; _________________________________________    Phone; _________________________________

Cell; ___________________________________________       EMAIL; _________________________________

Address; _________________________________________________________________________________

Check amount; $ __________       check number; ______________
check here if paying cash: ________ (please do not send cash in the mail)

Fill out names below only if you are a teacher bringing 5 or more students;

Student names; ____________________________            _____________________________

                        ____________________________             _____________________________

                        __________________________