REGISTRATION FORM FOR ADULT POTTERY CLASSES @ TPG
(Detach and mail or deliver with payment)
NAME: ___________________________________________________
ADDRESS: __________________________________________________________
MAIL TO:
CITY: ___________________________________________________
POTTERY CLASSES
STATE: __________________ ZIP: ___________________________
TOLEDO POTTERS’ GUILD
DAYTIME PHONE: ____________________________________________
5403 ELMER DRIVE
EVE./OTHER PHONE: ____________________________________________
TOLEDO, OHIO 43615
E-MAIL ADDRESS: ____________________________________________
SESSION: (circle) Fall Winter Spring Summer
CHOICE OF CLASS NIGHT: [ ] Tuesday – 6:30 - 9pm Stephen Johnston 419 243 9030 stephenjohnston@bex.net
[ ] Thursday – 6:30 - 9pm Kelly Savino 419 902 6800 ksavino@bex.net
IF WE OPEN AN ADDITIONAL SECTION, WOULD MONDAY EVENING BE POSSIBLE ALTERNATIVES FOR YOU? Y / N
FEE OPTIONS: (circle)
OPTION # TUITION (10 SESSIONS) SUPPLY FEE CLAY FEE ( FIRST 25 LB;) TOOLS (NEW STUDENTS ONLY) TOTAL
1 (FIRST TIME) $145.00 $20.00 $10.00 $12.00 $187.00
2 (RETURNING) $145.00 $20.00 $10.00 N/A $175.00
3 (GUILD MEMBER) $130.50 $20.00 $10.00 N/A $160.50
METHOD OF PAYMENT: (circle) CHECK (MADE PAYABLE TO TPG) CREDIT (Pay at first class session)
BY SIGNING THE BOTTOM OF THIS FORM, I AFFIRM THAT I HAVE READ THE TPG BEGINNING POTTERY CLASS INFORMATION
PUBLISHED WITH THIS REGISTRATION FORM. FURTHERMORE, I AGREE TO ACCEPT THE STATED TERMS AND CONDITIONS FOR
PARTICIPATION IN THE CLASS, INCLUDING INSTRUCTIONAL OFFERINGS AND CLASS PAYMENTS. CLASS FEES WILL BE REFUNDED TO
ONLY THOSE INDIVIDUALS WHO WITHDRAW PRIOR TO THE FIRST CLASS SESSION, OR IF A CLASS SECTION IS CANCELLED DUE TO
INSUFFICIENT ENROLLMENT.
SIGNATURE: (indicating acceptance of terms) _______________________________ DATE: _____________________________
Mail or hand deliver this completed registration form along with your payment.
If mailing, please send to the address noted above; envelope must be postmarked no later than 6 days before the first week of class.
PLAN TO SHOW UP FOR YOUR FIRST SCHEDULED CLASS UNLESS YOU HEAR FROM INSTRUCTORS. YOU WILL ONLY BE NOTIFIED IF
CLASS IS FULL OR YOU DO NOT GET YOUR FIRST CHOICE OF MEETING DAY.