Student Information and Waiver

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**This form is intended for use by students OVER AGE 18. If you are filling this out for a student under 18 please use our form for minors: https://forms.gle/ZfDE128YpuPFN5Ve9

All students must complete all four (4) sections of this form prior to attending their class. If you have any questions or concerns please email us at info@rocafc.com or call us at 585-349-7110 during our regular business hours (Mon 9-5, Wed 10-6, Fri 9-5)

Today's Date *

YYYY

Name (first and last) *

Email *

Phone Number *

Name of person who purchased the class (if different than student)

Emergency Contact Name *

Emergency Contact Phone Number *

What type of class are you taking? *

Welding (MIG, TIG, Stick, Sculpture)

Glass (Flameshop, Fusing)

Smithing (Blacksmithing, Bladesmithing, Coppersmithing)

Jewelry (Metalsmithing, Chainmail, Enameling)

Other:

What is the date of your class (*If multi sessions, what is the FIRST day the class begins) *

YYYY

What is the NAME of the class you are taking (ie: Glass Bead Sampler, Tapers Workshop, MIG Welding Night Course, Bladesmithing 6-Night Course, Guest Instructor, etc. etc. etc.) *

Please email me information about future Arc + Flame classes and events! *

I want to know what's happening with welding

I want to know what's happening with smithing (black, blade, copper)

I want to know what's happening with glass (fusing and flameworking)

I want to know what's happening with jewelry (enamel, chainmail, metalsmithing)

I do not want to hear about future classes or events

Required

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