Savannah's Clay Spot Registration Form
Kid's Summer Pottery Camp, Monday-Friday, 9:00am-1:00pm
Week of camp you are registering for? *
Parent/ Guardian Name
Child's Name or Children's names if more than one camper *
Address *
City *
State *
zip *
Cell phone # *
Email Adress *
Age of student
Date of Birth
Emergency Contact Phone #
Does your child have any food allergies or medical concerns we need to know about?
Total amount Due
Discount
One discount applies per camp
Method of Payment *
type of credit card
Clear selection
Expiration Date
Name as it appears on the card
Card number
CVC Number on back of card
This is the three last digits of your security code under your signature on the back of your card
Sorry, Camp registration fees are non-refundable.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy