Street Address

Bozeman, MT

Phone Number

Art Direction & Graphic Design

PARTICIPANT'S NAME

First Name

Last Name

Parent Contact

First Name

Last Name

Email Address

Phone

(###)

###

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Allergies or special circumstances to be aware of

Special interests or talents that you can share:

Specific things you'd like to learn or explore

There is a $75 fee for the workshop. A check or cash may either be sent with participant on the first day or the workshop,

or mailed to:

Tamara Knappenberger

P.O. Box 580

Bozeman, MT 59771

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