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Savannah's Clay Spot Registration Form
Kid's Summer Pottery Camp, Monday-Friday, 9:00am-1:00pm
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* Indicates required question
Week of camp you are registering for?
*
Your answer
Parent/ Guardian Name
Your answer
Child's Name or Children's names if more than one camper
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
zip
*
Your answer
Cell phone #
*
Your answer
Email Adress
*
Your answer
Age of student
Your answer
Date of Birth
Your answer
Emergency Contact Phone #
Your answer
Does your child have any food allergies or medical concerns we need to know about?
Your answer
Total amount Due
Kid's Summer Pottery Camp= $185
Discount
One discount applies per camp
Sibling discount, register the first child at regular price and each additional sibling registered gets camp for $170
Method of Payment
*
Pay by check, once check is received your child's spot will be reserved
pay by credit card, enrollment secured
type of credit card
Amex
Mastercard
Visa
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Expiration Date
Your answer
Name as it appears on the card
Your answer
Card number
Your answer
CVC Number on back of card
This is the three last digits of your security code under your signature on the back of your card
Your answer
Sorry, Camp registration fees are non-refundable.
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