if i had an ARTIST FOR A DAY...

Booking Form
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Name of school
__________________________________

Address
__________________________________

__________________________________

Contact
__________________________________

Telephone
__________________________________

Fax
__________________________________

Email
__________________________________

Workshop Preference
Please list workshops in order of preference (1-5) where 1 is the most preferred option.

dance
:: The magic of dance White Box - Please Tick

visual arts
:: Pinhole photography White Box - Please Tick

* Hide and Seek
* Fabulous Faces
* Split personality White Box - Please Tick
* Mapping
* Creative Comic Books

(the above * may be ticked as one option. Exact workshop breakdown can be agreed with artist)

:: Stomping Sculpture Experience White Box - Please Tick
:: Limited Edition White Box - Please Tick

music
:: Percussion Instruments from Around the World White Box - Please Tick
:: Percussion Discussion White Box - Please Tick
:: Anatomy of the Uilleann Pipes White Box - Please Tick

literature
:: Scare your Teacher White Box - Please Tick
:: Boom-Bang-a-Bang White Box - Please Tick
:: Who? What? When? Where? Why? White Box - Please Tick

Please list preferred dates for workshop (e.g. from 24th October 2005 until Friday 2nd June 2006).

Brenda Brady, Assistant Arts Officer, KCC Arts Service,
Riverbank Art Centre, Newbridge, Co Kildare.
Tel: 045-448318 / 448328, Fax: 045-432490,
Email: bbrady@kildarecoco.ie

Closing date for registration on this scheme is
Friday 30th September 2005!