Lakeside Pottery

543 Newfield Avenue, Stamford, CT 06905
tel. 203-323-2222 Home
fax 203-406-9999
2008 REGISTRATION FORM * required information
TO ENROLL: Please fill in this form, print & mail with a check (made to Lakeside Pottery) to the address above.
* Program Name:
8 wk adult, 8 wk children, camp or workshop -- Classes Info
* Start Date /Time:
Example: Sat 9/8/08 / 10:00AM -- To Calendar
Program Fee:
 Adults or Children 8 wk program = $340; 1 week camp = $275
Tool-set:
 Please pay $20 now if don't have a tool-set
T-shirt (optional):
$20 - Lakeside Pottery T-shirt w/ print in front & back. Pink, lime, yellow or sand
* TOTAL:
Adults are subject to firing / glazing fees
Student Informations.
2nd student
* Student Name:
Name 2:
* Street:
How did you hear about us?
Street:
* City / State/ Zip:
Children Programs Info:
* Phone - Day:
* Kid's Age:
Food allergies:
* Phone - Eve:
* Parent name:
* E-mail:
Please write e-mail address c l e a r l y
Cancellation: Lakeside Pottery LLC reserves the right to cancel, combine, or reschedule classes in order to adjust for enrollment. The min. number of participants needed to establish a class is six. If Lakeside Pottery cancels a class due to insufficient enrollment, registered participants will be informed and given the opportunity to register for another class. If participants do not want to transfer, a full refund will be given. Tuition is refundable only with at least three weeks notice before the start of class. $25 registration fee not refundable.
SIGNATURE ______________________________________ (I read the above) .DATE: ____________________
THANK  YOU