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 A POSSIBLE ALTERNATIVE 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.