Class Registration

High School Pottery Class

July 9 – 13; 16-19 and, July 25th for glazing.
10:00am to 12:30pm

I'm signing up for:
High School Pottery Class
First Name:

Last Name:

E-mail:

Address 1:

Address 2:

City:

Home Phone: (ex. (555)555-5555)

Work Phone: (ex. (555)555-5555)

Previuos Experience with Creamics:
None/Beginner Some Experience Advanced Student
For Advanced Students and those students with some experience,
please provide a brief description of your participation in ceramics.

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emergency contacts

Name:

Relationship:

Phone:

Name:

Relationship:

Phone:

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LIABILITY

- The MWCC is not responsible for personal injury, loss of or damage to property, including artwork produced by and work belonging to students or members at any stage of creation.

REFUNDS

- Class and student fees are not refundable except for cases of extreme hardship to be determined by the Board of Directors.

LEGAL

- Have you ever been convicted of a crime? Do you have any criminal charges pending against you? If yes to any of these questions please explain what the crime was and in what court the charges were heard. For pending charges please explain the charge and in what court the action is pending.

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This application is considered part of your student agreement. I fully understand that this application is taken subject to the approval of the MWCC Board of Directors, and is subject to class position availability. The Board need not supply specific reasons for denial, and is released form any liability associated with the same. Payment for the class must be received at the clay center 5 days prior to class.

Muddy Waters Clay Center prohibits discrimination in all its programs and activities on the basis of race, color, creed, national origin, religion, sex, age, disability, marital status, familial status, receipt of public assistance and sexual orientation. Persons with disabilities who require accommodations for participation in programs or alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact the Center at least two weeks prior to the need for the requested accommodation.

I have read a copy of the MWCC Policies and Procedures and understand the policies as they apply to members and students.

I have provided my answers to this application truthfully; and I understand that providing answers that are not true will result in immediate revocation of any student privileges. I also agree to abide by the MWCC policies and Procedures and understand that failure to abide by the MWCC policies and procedures may be grounds for revocation of student privileges.

I Agree