Ted Draper Art

DeChelly Galleries, Inc.
P. O. Box 1936, Chinle, AZ 86503
(928) 674 3431
"Exquisite Excursions - A Color Exploration Workshop"

De Chelly Galleries

Dates for workshops in the Draper pastel technique are open.

If interested in scheduling a workshop call Dechelly Galleries at (928) 674 3431, and please print, complete, sign and mail this application. Class size is strictly limited to only six participants to ensure a quality experience for all participants.

Cost for a 5-day workshop is per participant is $725.00 (US$).

The fee covers the following: guide service, transportation during the workshop, permits, lecture fees, daily lunch and refreshments in the field. It does not include lodging, breakfast and evening meals, airline fares or transportation to and from Chinle.

The required deposit is $345.00 and should be sent with your completed application immediately, and the remaining balance due within 30 days of the workshop.



LAST NAME ________________________________FIRST_____________________________MI______

(Area code) Daytime:_______________________(Area) Evening:____________________________

Stree address:_________________________________________________________________________

City:__________________________________________State:______________________Zip:__________

Email: _________________________________________Fax:___________________________________

Occupation/Profession:___________________________________________________________________

Education: .......... ___ High School ..... ___Some College ..... ___Degree ..... ___Art Instruction

Mediums used: ... ___Oil ... ___Acrylic ... ___Watercolor ... ___Pencil ... ___ Pen & Ink ... ___Pastel

........................ ___Other: ________________________________________________________

Previous Workshops: ____No___If Yes, please explain:___________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Previous travel to the Southwest:____No___If Yes, please explain:_________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Physical Condition:__Poor, I never exercise __Good, exercise often __Excellent, physically fit

Please list any special health or diet considerations we should be aware of:
__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

______________________________________________________________________________________





You may attach a separate page containing information on your personal interests/ambitions and what you wish to accomplish from this workshop.

The undersigned has read and fully understands the schedule of activities and the terms and conditions for the workshop as described. The undersigned understands the schedule of activities and accepts the risks therein. The undersigned hereby agrees for and on behalf of him/herself, dependents, heirs, executors, administrators, and assigns to release and hold harmless De Chelly Galleries, Inc., and any of its officers, agents, licensees or representatives from any and all liability for delays, inclement weather, injuries or death; for the loss or damage to his/her property; or for personal injury or property damage to others caused by him/her, however occurring, during any portion of, or in relation to, the above described workshop. Each participant is responsible for his/her own health and safety.


Signature: _____________________________________Date: __________________________

In the event of the cancellation of any workshop, a full refund will be issued. No refund will be given for any withdrawal within ten days of the beginning of the chosen workshop. Trip cancellation insurance is recommended for those purchasing airline tickets.

If you have any questions, comments or concerns, please contact:

De Chelly Galleries, Inc.
P. O. Box 1936
Chinle, AZ 86503
(928) 674 3431

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