Non-Credit Registration Form

If you see this don't fill out this input box.

First Name*

Middle Initial

Last Name*

Address1*Address1

City*City

State*State

Zip*Zip

Phone*

E-mail Address*

Date of Birth*

GenderEnter your gender

Please select a Pottery session

Session #1: September 15- October 22

Session #2: October 27- December 10 (No class on Nov 24 and Nov 26)

Session #3: January 3- February 11

Session #4: February 16- March 25

Session #5: April 6- May 16

Payment Method

Payment has to be made at the time of sign-up. You will be emailed the link to make payment if there are spots in the session.

Verification

I am the individual requesting to be registered for the courses listed above.

Verification

REFUND POLICY: Requests for full refunds must be made to the Records Office BEFORE the first session.

Signature*Enter your full name - Parent/guardian signature if registrant is under 18 years of age.

Date*Enter today's Date