Registration Form

Name: ___________________________________

Address: _________________________________

City: _______________State: _____ Zip _______

Phone: ___________________________________

E-Mail Address: ____________________________

Circle Session/Workshop you are signing up for.

Workshop 1. November 22 Wire Wrapped Jewelry

Saturday 9am – Noon, Fee: $50.00

Session 1. January 10, 17 & 24 Beginner Stained Glass

Saturday 9am – 1pm, Fee: $75.00

Workshop 2. February 4 & 11 Kaleidoscope Class

Wednesday 6pm - 9pm, Fee: $75.00

Workshop 3. February 5 Wild at Heart

Thursday 6:30pm – 8pm, Fee: $35.00

Session 2. February 14, 21 & 28 Beginner Lamp Class

Saturday 9am – 1pm, Fee: $75.00

Workshop 4. March 14 Fused Dichroic Jewelry

Saturday 10am – Noon, Fee: $95.00

Workshop 5. March 21 Wire Wrapped Jewelry

Saturday 9am – Noon, Fee: $50.00

Workshop 6. March 28 Fused Garden Stake

Saturday 9am – Noon, Fee: $50.00

Please return above form along with class fee.

Registration ensures your place in class. If you cancel prior to 10 days of beginning class date you will receive a refund minus a $10.00 cancellation fee. No refund if cancelled within 10 days of class.

Pregnant or Nursing Women Should Check With Their Doctor Before Enrolling!

Mail To: Wentz Stained Glass Studio, 48 York St., Gettysburg, PA. 17325, Phone: 717-334-0906