Wisconsin Regional Art Program Workshop Report Form

City
Date of WRAP workshop
Workshop coordinator
Phone number (w/area code)
E-mail

Name of sponsoring art group
Number of Exhibiting artists
Number of Workshop guests
Artist payment, $
Juror payment, $
Amount sent to WRAP, $ (check payable to UW-Madison)	($15 per exhibiting artist-from artist #11 up to your total number of artists)
Amount that went to sponsoring art group, $
Guest artist name
Address
City/ST/ZIP
Phone (w/area code)
Topic
Evaluation comments on Guest Artist

Juror name
Address
City/ST/ZIP
Phone (w/area code)
Evaluation comments on juror
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Continuing Studies