Instructor's SCA Name:
 
Instructor's Mundane Name:
   First    MI    Last
Address: 
       City: State: Zip Code:
Home Phone: Cell Phone: Fax:
E-mail address: 

Title of Class:
Brief Description of Class:
 
How much time do you need for the class (in 50 min periods)?
What supplies will students need to bring?
 
Will there be a materials fee? If yes, how much?
Do you wish to restrict the size of the class? If yes, to how many students?
Do you have any special needs for the class, such as electricity, AV equipment, wet space, etc.?

Session you are willing to teach at:
Would you be willing to teach this class at other Collegium Sessions?