Madeleine Murray
3458 South Road
PO Box 706
Bradford, VT 05033
(802) 222-5798
bmurray@together.net
www.brucemurraypotter.com
Please fill out this form and return it with your check payable to Bruce Murray.
Fees: The class is $150.00 per week. There may be a small materials charge if more than 5 pieces are fixed.
Registration fee of $50.00 due June 15th with application – balance due 1st day of class.
Please fill out this form, print it out and return it to the address below. Thank you.
Choice of 3 weeks (circle choices):
July 6th – 10th
July 13th – 17th
July 20th – 24th
Monday – Friday 9:00 to noon
Child’s Name: |
Nickname: |
Entering Grade: |
Parents’ Name(s): |
Address: |
City, State, Zip: |
Phone: |
Cell or Other Emergency Phone: |
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We reserve the right to cancel the Play With Clay programs if there are not enough participants, in which case the registration fee will be refunded.
South Road Pottery
3458 South Road (PO Box 706)
Bradford, VT 05033
(802) 222-5798
bmurray@together.net
www.brucemurraypotter.com