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Workshop Registration Form:    
Anasazi Pottery at Chimney Rock: ANCIENT CULTURE THROUGH POTTERY- 2009
Note* If signing up after 7/1/09...please contact instructor at info@ancientarts.org before sending in registration.

 Registering for:

Anasazi Pottery at Chimney Rock
ANCIENT CULTURE THROUGH POTTERY- 7/31-8/2 2009
Name:  
Address:  
City State Zip:  
Phone:  
E mail:  
Occupation:  
Clay experience/ability level:  
How did you learn about this course?   
Workshop T-shirts for sale at workshop  
 Taking course for college credit?  Yes  No  
CHIMNEY ROCK TUITION*: $150
Full fee required at time of registration

                              Personal  Check, Travelers Checks,
Money Order and PayPal Accepted

Print, fill in, sign and mail this form with your deposit. Sorry email registrations are not accepted.
As a participant I 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 my permission to use any photos taken of me during the workshop for educational or promotional purposes.
Participant Signature 
and Date (required):_____________________________________________ Date___________
                                REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE and FULL TUITION included 

*Your 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 it is non-refundable unless the workshop is canceled or your space can be resold. 
Lodging and meals are not provided.  Limit one non-participant companion per paid registrant. No children or pets please.

Upon receipt of the registration form and deposit, you will receive an email confirmation. 
Approx. 30 days before workshop, a course schedule and other related workshop information will be emailed as it becomes available.


We look forward to seeing you soon... 
Please mail completed registration form and make payment payable to: 
Gregory Wood 
       
Ancient Arts® P.O. Box 27 Masonville, CO 80541
     

 

Established 1977
Updated 7/01/09
©1998-2009 ArchæoCeramics™, ArchæoCeramist™ and Ancient Arts® are trademarks owned by Gregory S. Wood
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