2 0 0 8 C L A Y C A M P R E G I S T R A T I O N F O R M

To register: Print out, fill out, and send in this form to:
Clayworks Studio / 4130 Greenbush Ave / Sherman Oaks, CA, 91423
Session dates and prices can be found on the information page.
Student's Name:
School:
Age:
Gender:
Home Address:
City:
Zip:
Mother's Name:

Email:
(required)
Phone: Home
Work
Father's Name:
Phone: Home
Work
Emergency Contact:
Telephone:
Relationship:
Financially Responsible Party:
Billing Address:
City:
Zip:
Physician Name:
Phone:
Please enroll my child in the following sessions:





Ages: 6 to 10
Morning Class:
(9:30am -12:30pm)

Mon. thru Thurs
Tuition for two
week session:
Ages: 11 to 14
Afternoon Class:
(1:30pm - 4:30pm)

Mon. thru Thurs
Tuition for two
week session:
Sessions:
Course #
Rate
Course #
Rate
June 23rd - July 3rd
Open
$475
Open
$475
July 7th - July 17th
Open
$475
Open
$475
July 21st - July 31st
Open
$475
Open
$475
Aug 4th - Aug 14th
Open
$475
Open
$475
Pay with cash and take $25 off!
$25.00
$25.00
Total $ Enclosed:
Please make check payable to:
 Clayworks Studio,
4130 Greenbush Ave.,Sherman Oaks, CA 91423