Artist in Residence booking Form...

Have a Question?

check out my

Site Information Page

Need Help?

Please Contact Me At Customer Service

Artist in Residence

Booking Form

To reserve a Residency or to request information, please fill out the form below. If possible, please submit with alternative date choices. Thank you so much...

Residency Date *
School Name *
School Address *
City or Town * State Zip
School Phone * Fax
Teachers Name *
Teachers Phone * Cell
eMail address *
Coordinator's Name *
Telephone * Cell
eMail address *
Which grade(s) * Num of classes
Number of students * Num each class

* Denotes Required Information

Please choose from the following options (choose all that apply):
One day residency: $400.00 + Travel + Accommodations
One week residency (four or five days): $1050.00 + Exp.
Teachers Workshop: $150.00 (during a regular residency)
Accommodation (Hotel Stay estimate): $350.00
Ask me concerning Home Stay (sometimes I can accommodate this)

Please include in the box below any additional questions or information

Yoshiko Moon

19 N. Main Street

Honea Path SC 29654

Tel & Fax: 864-369-1605

Preparation (School side) :

□　Contract
□　Time Schedule

□　A Room with Sink

□　Paper Towels

□　Demonstration Tables

□　News Papers

Lesson Plan