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Registration Form
Payment MUST be enclosed to assure placement at the Institute.
Name:
Address:
City/State/Zip:
Home Phone:
Work Phone:
Email:
School Name:
Enroll me in the following
MORNING COURSE:
_____Art through Math, Math through Art
_____Literature Exploration through Puppetry
_____Keeping your Balance-Integration in the Music Classroom
_____Art and Content for Grades 6-12
_____Teaching Art in K-8 Level
_____Arts for Special Education
AND
Enroll me in the following
AFTERNOON WORKSHOP:
Number in order of preference 1-9
_____World Music Drumming-Level 1
_____Topics in Art-Oil Painting on Location
_____Surface Design
_____Organizing Your Artistic Intuition
_____Exploring Puppetry & Storytelling
_____Installation Art
_____Digital Processes & Printing
_____Songwriting w/ Students of all ages
_____Pottery for the Elementary Classroom
I am a:
_____Classroom Teacher_____
Art Specialist_____
Music Specialist_____
Math Specialist_____
Reading Specialist_____
Special Ed Specialist_____
Administrator_____
Other_______________Focus:
_____Elementary _____Secondary_____
I have special needs, please call me._____
Please send me dorm registration information****
A very limited number of dorm room scholarships are available to those that need it most. We will provide information with dorm requests._____
Enclosed is my registration fee of
• $270.00,
before May 1
• $290, May 1 to May 30
• $320, after May 30
Send Registration Form and payment to:
South Dakotans for the Arts
PO Box 414
Lead, SD 57754
For more information:
(605) 722-1467 or soda@rushmore.com