NORTHAMPTON POTTERY ENROLLMENT FORM

  Name: (Last)__________________(First) _________________________

  Phone #: (______)______-___________ Age (if under 19)__________

  Address: (Street) _____________________________________________

  City ______________________________State ____________Zip_______

  Email: ________________________________________________________

  Class desired (day)__________________ (time) __________________
  
  Amount enclosed ____________        

 ($50.00 nonrefundable* deposit required upon enrollment for classes,
  with remainder due upon first meeting of class.  Tuition nonrefundable
  after first meeting of class.)  

  Emergency contact information (for minors only):

  Name_____________________relationship to student_______________

  Phone_____________________ Cell Phone ___________________

  *Class deposits ($50) are nonrefundable unless the class is cancelled
  due to insufficient enrollment.)

  Missed class policy:  Students may make up missed classes by arranging
  to attend a class meeting at a different time, subject to space 
  availability.  This must be done within the session and not carried over
  to further class sessions. No refunds or credit issued for missed classes.

  Behavior in children's classes:  No refunds will be issued if a child
  must be released from class due to behavior.
  
  The Northampton Pottery
  102 Main Street
  Northampton, MA 01060

  PHONE: 413-584-3299