CAL-EARTH WORKSHOP REGISTRATION FORM


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Name of School/ Title of Institution/ Type of Group

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Name of Teacher/ Adult responsible for group

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Address

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Contact Telephone Number (s)

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Age of Children in Group//Date of Visit/ Workshop

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How did you hear of the Cal-Earth Children's Workshop?

Enclosed is our Non-Refundable Deposit for:


O...MINI-WORKSHOP 3 HOURS ($10 PER CHILD)
O...MAJOR WORKSHOP FULL DAY ($25 PER CHILD)

DEPOSIT:
of 30%		 ____________________
BALANCE:
payable before visit		 ____________________
TOTAL PAID:
at this time		 ____________________

BALANCE DUE:
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LIABILITY DISCLAIMER: The Geltaftan Foundation Inc. (Cal-Earth), its officers, board members, employees, and designated board members shall not be liable for loss or damage to property or any injury to the participants of the Earth/ Ceramic Architecture Workshop/ Tour, however occuring, at or during this workshop/ tour.

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Signiature/Date