SCHEDULING A CLASS

Name of person completing this form:

Email:

Phone Number:

Class Name

Instructor's Name

Is this class Open or Closed ?

List the all the class Dates (mm/dd/yy) and Times

Month

Day

Year

Time

HoursMinutes

Class Location:

Room Name:

Class Size Capacity:

Based on class and room size

Building Street Address:

City:

Zip:

District Director or Site Contact Name:

District Director or Site Contact Email:

District Director or Site Contact Phone:

Materials shipped to:

Instructor address for shipping:

District Shipping Address, if different from Class Location above

Please send the following:

Additional Instructor Manual

Additional Participant Manual

Additional information: unique class description, hotel or meal information to provide with the announcement?

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