Class Application

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Class Application - to be completed by the instructor

* Indicates required field

Instructor Name *

First

Last

Instructor Email *

Instructor Phone Number *

Name of Proposed Class *

Date and Time Period Requested *

What date (month, day, year) and time of day (start and end) do you request for your class? This is subject to CCA building availability.

Class Size Limit *

What is the maximum number of students you can accommodate in your class?

What will you charge for this class, including materials? *

What will you charge for the class, including the cost of any materials you will provide to the students

Student Age *

Age 18 and up Age 16 and up Age 14 and up Age 12 and up

What age range of students can be accommodated by this class

Description of Proposed Class *

Please provide a detailed description of your class, what the student will do in the class, any special skills required, anything that the student will take home from the class. Be creative - Sell Your Class.

Class Image *

Max file size: 20MB

Please provide an image to be associated with selling your class. For classes that produce something, this should be an image of what is produced. Images should be at least 200 x 300 pixels, 72 dpi.

Submit

Chincoteague Cultural Alliance
PO Box 257 • Chincoteague • Virginia • 23336
Center for the Arts - 6309 Church Street
info@chincoteagueculturalalliance.org
757-381-7733

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