ADULT BASKETRY APPLICATION FORM 
(August 2011 - June 2012)

NAME_____________________________________________
ADDRESS__________________________________________
_________________________________________________

TELEPHONE________________________________________

Basket Classes

(Held at Swan Bay Folk Art Center, Port Republic)
PLEASE WRITE IN THE NAME OF THE BASKET YOU WOULD LIKE
TO MAKE NEXT TO THE DATE YOU WOULD LIKE TO MAKE IT.

_____ Monday, September 26, 7-9pm____________________________
_____ Tuesday, October 11, 7-9pm______________________________
_____ Monday, October 17, 7-9pm______________________________
_____ Monday, October 24, 7-9pm______________________________



I also have some Thursday nights available. Please call to schedule.

A new Schedule will be posted sometime in February.

If you are interested in any of these dates please indicate it on this application and send
this in along with a $5.00 deposit for each class made payable to:

SWAN BAY FOLK ART CENTER
P.O. BOX 152
PORT REPUBLIC, NJ 08241
(609) 652-0366