OVCAG 2010 Clay Carnival Workshop Registration Form

Workshop fee is $30.00 for both OVCAG members and non-members. Persons under 16 may attend the workshop with approval of the workshop coordinator, and with parental supervision. This event is being held at: Clay Planet, 1775 Russell Ave, Santa Clara, CA.

STEP 1: Pay for the workshop either using the PayPal link below or by mailing in a check, made payable to OVCAG, with your registration form.
STEP 2: Fill out Registration form below. Print it. Either FAX or mail the workshop chair:

OVCAG WORKSHOPS
c/o Name
Address
City, CA Zip
FAX: 555-555-5555

Registrations are not complete until the workshop chair receives a signed copy of this registration form, and a check or PayPal payment for the total amount of the workshop (including material fees, if any). Please allow adequate snail mail time! Refunds for this workshop will be made only if the workshop chair receives your cancellation request three weeks prior to the workshop date. See our refund policy for details.

Workshop Name:	"Clay Carnival 2010"	Date: March 13, 2010
First Name:		Last:
Address:
City:		State: Zip:
Phone:		E-mail:
	Are you an OVCAG member? YES NO


Please check the sessions you wish to attend. We will do our best to get you your 1^st choice, but space is limited. Please mark 1 for 1^st choice, 2 for 2^nd choice workshop in each time slot.
	8:30-10:00	Session A	Session B	Session C
	10:30-12:00	Session A	Session B	Session C	Session D
	1:00-2:30	Session A	Session B	Session C	Session D
	3:00-4:30	Session A	Session B	Session C	Session D

PARTICIPANT LIABILITY RELEASE:
I, the undersigned or parent/guardian of the individual named above do hereby agree to allow the named individual to participate in this activity, and I further agree to indemnify and hold harmless the Orchard Valley Ceramic Arts Guild and its members, officers and agents, the instructor(s) of this workshop, and the owner(s) of the premises, from and against any and all liability, save and except for their sole negligence, for injury associated with the named individual’s participation in this activity. I understand that participation in this activity may involve exposure to chemicals and materials known to be hazardous. I further agree to the use of the aforementioned individual’s photograph for program publicity.

Check the appropriate box: Participant (18 or over) Parent or Legal guardian

Signature:

Date: