|CHIMNEY ROCK POTTERY WORKSHOP
~ August 2-4, 2013
|City State Zip:
|E mail: please
|How did you learn
about this course?
available for purchase at workshop:
S M L
XL :circle size(s) to
reserve T shirts
Full fee required at time of
Check, Money Order
and PayPal Accepted
Check here ____ if using PayPal
Print, fill in,
sign and mail this form with your payment. Sorry email registrations are not
Note: PayPal users are required to
complete and mail-in registration forms within 10 days of payment.**
Waiver /Disclaimer: As a participant
I am at least 18 years of age and understand that I am solely responsible for
any illness or injuries that I may incur during the workshop and that I am
responsible for all resulting medical costs or other expenses. Ancient Arts®
has permission to use any photos taken of me during the workshop for educational
or promotional purposes.
IS INCOMPLETE WITHOUT SIGNATURE
tuition is refundable less a $50.00 administration fee if written
cancellation notice is emailed or postmarked 45 days prior to the
scheduled workshop. After that time it is non-refundable unless the workshop is
canceled or your space can be resold.
Any non-refundable unused tuition may be applied toward a future workshop.
** If using PayPal Payment Option your workshop space will be held for
business 10 days, however, your
registration is not complete until your signed hard copy registration
form is received through U.S. mail. If it has not been received within 10 business
days you may
forfeit your space.
Lodging and meals are not provided. Limit one
non-participant companion (observer) per paid registrant. No children or pets
Upon receipt of the registration form and
payment, you will receive an email confirmation.
Approx. 30 days before event, a course schedule and other related workshop
information will be emailed to you as it becomes available.
We look forward to seeing you this summer...
Please mail completed registration form and make payment payable to:
Arts® P.O. Box 27 Masonville, CO 80541