Memory Magic Scrapbook Event Online Instructor Registration Form

Contact Information
Session Title:
Instructor Name: Email Address:
Organization Name:
Business Phone: Alternate Phone:
Web Address:
Mailing Address:
 City:
 State:
 Zip:


Class Description
Please include a brief description that may be used in promotional items and on our website. Also make sure to list all supplies that a participant needs to bring to class:
List all supplies that a participant needs to bring to class:
(Make supply list specific. Some class participants are new to scrapbooking and do not understand the term “basic supplies”.)
Please send a picture(s) of your finished project to be included on our website. The picture may be a hard copy if you would like to mail one in to us or may be emailed to memorymagic@cortn.org if it is in a .jpg or .png file format. If you choose to mail a picture either on paper or on a disk, make sure to include your name and address so that it can be returned.


Times
Please check all times that you will NOT be available for class instruction:
Friday, September 23rd Saturday, September 24th
9:00 a.m. - 10:30 a.m.
11:30 a.m. - 1:00 p.m.
1:00 p.m. - 2:30 p.m. 2:00 p.m. - 3:30 p.m.
3:30 p.m. - 5:00 p.m. 4:30 p.m. - 6:00 p.m.
6:30 p.m. - 8:00 p.m. 6:30 p.m. - 8:00 p.m.


Compensation
Instructors will receive $14.00 per paid participant. Maximum class size is 15 participants. Please indicate your preferred maximum and minimum number of students.
Maximum: Minimum:                                                


Special Requests
Please include any special requests in the box below:


Other Information
Please print, sign, and remit the following form within 5 business days of submitting your registration.
Return your signed polices and procedures form to:

City of Oak Ridge Recreation and Parks Department
Attn: Memory Magic Scrapbook Event
P.O. Box 1
Oak Ridge, TN 37831
*Upon receipt and approval of your application a contract will be sent to you by Tammy Dunn, City Staff Attorney. Please sign and return immediately. Questions concerning the contract document should be directed to Ms. Dunn at 865-425-3555 or to tdunn@cortn.org. All other event questions should be directed to psloan@cortn.org or 865-425-3443.



Please Note The Following Information
Attention: This registration is not a real time registration process. Please indicate below if you would like to be contacted by phone or email to let you know that your registration is complete.
Phone Email


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