Class_______________________________Class Fee _______

Class_______________________________Class Fee _______

I have read and understand the policies regarding Registration Information, Cancellation Policy and Statement of Safety. I understand that the instructor and Noon Whistle Pottery are not responsible for personal injury or loss of property.
Signed______________________________Date____________
How’d you hear about our classes?________________________
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Please mail completed form with separate checks for each class payable to “Noon Whistle Pottery” to:
Noon Whistle Pottery, 328 Main St., Stanardsville, VA 2297