Registration Form

INSTRUCTIONS

1. Print and complete this form

2. Snail-mail the completed form to Steve at Avalon Clearview with your cheque, or

Scan the completed form and email it to Steve at Avalon Clearview, with the full intention of calling ahead with your credit card info, or

Drop in to any of the studios with the completed form, with your cheque, or

Drop in to Avalon Clearview with your completed form, and your VISA or MasterCard or debit card.

3. Decide what you'd like to do for your accommodations; arrange that; relax.

WHICH COURSE WOULD YOU LIKE circle one

5 DAY	3 DAY
$834.75 incl GST	$498.75 incl GST

IF YOU SELECTED THE 5 DAY COURSE, AT WHICH STUDIO WOULD YOU PREFER TO TAKE

THE LAST TWO DAYS OF THE COURSE please put in your choice numbers (1, 2, 3 with 1 = first choice)

into the boxes beside the choices. Placement is limited and will be on a first-come basis.

TURTLE CREEK
for fused glass

AVALON CLEARVIEW
for stained glass

BEAVER VALLEY
for flame & blown glass

PAYMENT IN FULL is due with your registration.

For VISA or MASTERCARD

If paying by cheque, please make your cheque payable to:

Avalon Clearview Studio

And mail to: 1651 County Road 124,

RR1, Duntroon

Ontario, L0M 1H0

REFUNDS are available up to one month prior to the beginning of course.

AN ADMINISTRATION FEE will be charged on cancellation refunds. The fee is $15 if fee

was paid by cheque or cash or debit card. The fee is 4% of the course price if payment

was by credit card.

COURSE CANCELLATION by the Taste of Glass Group will refund all payments without any

administration or other fees.

SAFETY FIRST - ALL APPLICANTS MUST SIGN THIS SAFETY WAIVER.

The course is for ADULTS only. Safety is our first priority. Working with glass has some inherent risks - including, but

not limited to - cuts, splinters, burns, exposure to silica dust, lead fumes, chemicals and other toxic materials. Students

agree to listen to, and abide by, all safety precautions given by the course instructors.

Students must wear closed-toed shoes at all times and use safety-glass eye protection when cutting, grinding

or working with heated glass. Safety glasses will be available for course participants, but you may be more

comfortable bringing your own.

By signing below, you acknowledge that you have read the above precautions, and that you will not hold the

instructors or their staff responsible for any accidents or injury, no matter how caused.

SIGNATURE
DATE

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