First Name:

Last Name:

Your School Name:

Your Email:

Your Phone Number:

Your Cell Number:

Your Fax Number:

Workshop Title:

Workshop Description

Target audience for your workshop:
Students OnlyFaculty OnlyBoth Students and Faculty
Attendance Limit:
None61-7541-6026-4015-25Other (Contact Coordinator)
List any equipment you need for your workshop but can’t bring:

Required Space:
Large (acting/movement)Large (tech/equipment)Small (acting/movement)Small (seminar style)Other (contact Coordinator)
Bio for Program:

Additional comments or instructions/requests to Workshops Coordinator:

Wednesday Availability:
Any timeMorning – 90 minutesMorning – 120 minutesAfternooon – 90 minutesAfternoon – 120 minutesEvening – 90 minutesEvening – 120 minutesNot Available
Thursday Availability:
Any timeMorning – 90 minutesMorning – 120 minutesAfternooon – 90 minutesAfternoon – 120 minutesEvening – 90 minutesEvening – 120 minutesNot Available
Friday Availability:
Any timeMorning – 90 minutesMorning – 120 minutesAfternooon – 90 minutesAfternoon – 120 minutesEvening – 90 minutesEvening – 120 minutesNot Available
Saturday Availability:
Any timeMorning – 90 minutesMorning – 120 minutesAfternooon – 90 minutesAfternoon – 120 minutesEvening – 90 minutesEvening – 120 minutesNot Available