REG CAMPS

KIDS CLAY ROOM

a pottery studio for children.

Phone number/numbers in case of emergency: *

Child 3 Name AND Age:

Allergies or other relevant issues: *

HANDBUILDING CAMP- $60/child. For ages 5 and up

Fri 11/10/23, 1 to 4 pm

Email: *

HANDBUILDING CAMP $60/child. For ages 5 and up *

Fri 11/10/23, 1 to 4 pm

Child 2 Name AND Age:

REGISTRATION FORM: CAMP 11/10/23, 1 to 4 pm

Please fill out the information below. All 8 fields marked with an "*" must be filled out.

You will receive a confirmation email with an invoice for online payment. Thanks!

Please check: *

I acknowledge the KIDS CLAY ROOM will not be held liable for any accidental injury to my child/children while in their care.

Electronic Signature: *

Child 1 Name AND Age: *

HANDBUILDING CAMP- $60/child. For ages 5 and up

Fri 11/10/23, 1 to 4 pm

Comments/Questions:

Parent First & Last Name: *

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