SSDA Retreat Project Submission Sheet

Project# 1  2  3  (Circle one)

Teacher's Name_________________________________________________________

Designing Artist's Name___________________________________Approval?_______

Project Name___________________________________________________________

Surface Type and Size___________________________________________________

May we keep your sample?                                                 Yes_____No_____

Medium____________________                   Areosol Used?     Yes_____No_____

Skill Level:   Beginner ________  Intermediate_________  Advanced__________

Class Time:    4 hour _________6 hour _________8 hour________

Number of students:     Minimum ________Maximum________

Project Fee:  $_________________

Supplies students should bring:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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Office Use Only

Date Arrived______________ Category:_________________Selection Number:___________Disposition:________

Day: __________     Time: _________________  Lunch / Dinner Time:_____________________

Class fee:______________  Supply fee:______________  Total:____________________________

Photo Number:__________________________