Clay Space Studio Online Registration

Registration

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Welcome to Clay Space Studio! We're so glad you're here, whether you're returning or joining us for the first time, welcome! Please complete the registration form if you're interested in signing up for any of our upcoming classes. Summer Classes Are Now Open- You can choose from July and August sessions. Once you complete the form, you’ll be able to select the classes you’d like to join. Adult pottery classes are open to anyone 18 or above; Kids classes are for aged 8 to 14.

* denotes required fields

Referral Information

How did you hear about us?

Family Information

Family Last Name*

Primary Phone*

Additional Info

Emergency: Name, tel, email and relationship. (If applicable, provide info of other family enrolling*

Discount Code

Contact #1

Primary Student (**Same as Student #1) First Name*

Last Name *

How Can We Contact You?

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

2nd Student First Name

Last Name

How can we contact you?

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date

Cell #

Additional Info

Student Email*

Allergies (Leave blank if NONE)

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date

Cell #

Additional Info

Student Email*

Allergies (Leave blank if NONE)

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date

Cell #

Additional Info

Student Email*

Allergies (Leave blank if NONE)

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date

Cell #

Additional Info

Student Email*

Allergies (Leave blank if NONE)

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date

Cell #

Additional Info

Student Email*

Allergies (Leave blank if NONE)

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

Country

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Transit # (5-digits)

Institution ID (3-digits)

Account Number

Registration

Referral Information

Family Information

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)