Classes Payment

(Please submit a separate form for each additional student.)

Clay Creations - July 13-16

Clay for Older Kids - July 20-23

Ready Set Paint! - July 27-30

Clay Creations 2 - Aug. 10-13

Tiny Treasures - Aug. 17-20

Students Name*

Age/Grade (entering in fall)

Parent/Guardian Name*

Email*

Parent/Guardian Phone*

Emergency Contact Name*

Emergency Contact Phone*

Total Number of Weeks

Total

Credit Card*

Card Details

Cardholder Name

Name

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