Workshop Registration Form:
|ANCIENT CULTURE THROUGH POTTERY:
SOUTHEAST UTAH - JUNE 11-17, 2017
|City State Zip:|
|E mail: please print clearly|
|Clay experience/ability level:|
|How did you learn about this course?|
|WORKSHOP TUITION*: $650 $||
Check, Money Order and PayPal** accepted
|DEPOSIT $150 (due with Registration Form): $|
|If using PayPal** enter amount here: $|
|BALANCE DUE*** : $
Print, fill in, sign and mail this form with your payment. Sorry email or online registrations are not accepted.
Waiver /Disclaimer: As a workshop 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.
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE
Your registration is
not complete until your signed hard copy registration form is received
through U.S. mail.
If registration form has not been received within 10 business days of any payment you may loose your space. Your tuition is refundable less a $100.00 administration fee if written cancellation notice is received via email 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.
PayPal** users are required to complete and mail-in registration forms within 10 business days of online payment.
Due in full by May 01, 2017
Lodging and meals are not provided. Limit one non-participant companion (observer) per paid registrant.
No children under 18 or pets allowed.
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 make check payable to: Gregory Wood
Mail completed registration form and payment to:
Ancient Arts® P.O. Box 27 Masonville, CO 80541
Established 1977 - 40th