Register Mesa Verde
Home Up

Home
Up
Next

Workshop Registration Form:    
ANASAZI POTTERY at MESA VERDE: Ancient Culture through Pottery- (price going up in 2009 register now at old rate)

 Registering for:

ANASAZI POTTERY at MESA VERDE: 
Ancient Culture through Pottery - June 2009
Name:  
Address:  
City State Zip:  
Phone:  
E mail:  
Occupation:  
Clay experience/ability level:  
How did you learn about this course?   
Taking this course for college credit?  Yes  No  
Workshop T shirt : M  L  XL (circle one)  
Mesa Verde Workshop $395 FEE :$  
Enter applicable Group rates: $  
Enter CAMPING FEE to camp at Workshop Site:
 $50 per person for 5 nights (2 person max.) : $
 
SUB TOTAL :$  
Subtract $100 DEPOSIT* or enter full payment* :$  
Checks, Money orders accepted BALANCE DUE** : $
NOTE: Full payment is due after May 15, 2009

                           

Print, fill in, sign and mail this form with your deposit. Sorry Email registrations are not accepted.
Ancient Arts® has permission to use any photos taken of me during the workshop for educational or promotional purposes. As a participant I 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.

Participant Signature 
and Date (required):______________________________________________ Date______________
                                REGISTRATION IS INCOMPLETE WITHOUT DEPOSIT and SIGNATURE

*Your deposit/tuition is refundable less a $50.00 administration fee if written cancellation notice is emailed or postmarked  45 days prior to the scheduled workshop. After that it is non-refundable unless the workshop is canceled or your space can be resold. 
**Balance is due in full by May 17, 2008 or you may lose your deposit and forfeit your space. 
Lodging and meals are not provided. Limit one non-participant companion per paid registrant. No children or pets please.
Upon receipt of the registration form and deposit, you will receive an email confirmation. Approx. 30 days before workshop, a course schedule and other related workshop information will be emailed as it becomes available.
We look forward to seeing you soon... 
Please mail completed registration form and make payment payable to: 
Gregory Wood 
        Ancient Arts® P.O. Box 27 Masonville, CO 80541

 

Since 1977 
©1998-2008 ArchæoCeramics™ and Ancient Arts® are trademarks owned by Gregory S. Wood

Pottery Gallery
   About the Artist   Prehistoric Technology   Workshops  
 Hit Counter