LCVA Professional Development Workshops for TeachersREGISTRATION FORM: Name: ____________________________Grade: _______Subject: _________________ School:_________________________________________________________________ Address: _________________________________________________________________ Phone: _________________________________Fax: _____________________________ I plan on participating in the following workshop(s): ______ It’s Greek to Me! Wednesday, September 29, 2004, 8:30 a.m. - 3:30 p.m., Fee: $15 (includes lunch) ______ Pit-Fired Pottery Workshop at Cub Creek Foundation, Friday, October 8 (8:30 a.m. - 5 p.m.) & Saturday, October 9 (8:30 a.m. - Noon), 2004, Fee: $30 (includes lunch on Friday) ______ African Workshop, Mali: The Soul of the Sahel, Wednesday, October 20, 2004, 8:30 a.m. - 3:30 p.m., Fee: $15 (includes lunch) ______ Creative Journals for Teachers,Friday,November 5, 2004, 8:30 a.m. - 3:30 p.m., Fee: $15 (includes lunch) ______ Art and Culture: The Riches of China,Friday,February 25, 2005, 8:30 a.m. – 3:30 p.m. Fee: $15 (includes lunch) ______ Professional Day for Area Art Teachers, Thursday,March 10, 2005, 8:30 a.m. - 3:30 p.m., Fee: $15 (includes lunch) Amount Enclosed: _______
Upon registration a confirmation letter will be sent to participants.
Mail to: Emily Gresham, Museum Educator Longwood Center for the Visual Arts 129 N. Main Street Farmville, VA 23901
OR fax the form to 434-392-6441 Questions: Call Emily Gresham, the LCVA Museum Educator, 434-395-2648
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