RED CINDER CREATIVITY CENTER

Where Ideas Catch Fire on the Big Island of Hawai'i

Helen Chellin, Director
														
Mainland Address:
243 Jersey Street
San Francisco, CA 94114
Phone: 415 821 6694
Fax: 415 648 8131

Island Address:
P.O. Box 527
Na'ahelu, HI 96772
Phone: 808 929 9600

Caretakers, Patty and Drake Fujimoto
Phone: 808 929 8426
	
										
										
													
LEARNING CENTER APPLICATION


1. Workshop leader

Name: __________________________________________


Address: _______________________________________


City: __________________________________________


State/Zip: _____________________________________


Day phone: _____________________________________


Evening phone: _________________________________


Fax: ___________________________________________


E-mail: ________________________________________


Driver's License # _________________ State _____



2. Topic or discipline of workshop






3. Brief description



4. Number of participants

(indicate any couples who would share a room) __________



5. List three possible dates in order of preference:


a. ____________________ b.______________________ c.____________________






6.	Any special requests of site (include menu preference):