Application For AEC Rental

NAME:	____________________________________________________________________________
ADDRESS:	____________________________________________________________________________
PHONE:	____________________________________________________________________________
EMAIL:	____________________________________________________________________________
DESCRIBE HOW ROOM WILL BE USED (Circle): Class Workshop Studio Meeting Event
WHICH ROOM DO YOU WISH TO RENT (Circle): Studio 1 Studio 2 Both Studios
TITLE OF COURSE: ______________________________________________________________________
DATES REQUESTED: _____________________________________________________________________
CIRCLE TIME BLOCK/S REQUESTED: Morning (8:30-12:30) Afternoon (1:00-5:00) Evening (5:30-9:30) (Note: Time for preparation/cleanup must be included in time block. Room must be clean and ready for next user at end of session)
BRIEF CLASS DESCRIPTION: _____________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
MATERIAL LIST FOR STUDENTS TO BRING: _________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
INSTRUCTOR BIOGRAPHY (Please be Brief): __________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
INSTRUCTOR CONTACT INFO FOR ATTENDEES: ______________________________________________ _____________________________________________________________________________________
Forward this information to: Island Art Association, Inc.; P. O. Box 1251, Fernandina Beach, FL, 32034, ATTN: AEC Committee; or e-mail to: mailbox@islandart.org. For more specific information contact a member of the AEC Committee direct or call 904 261-7020. Upon receipt of your request you will be contacted by a representative of the Art Education Center and a meeting will be arranged.