Bothwell Pottery Kids Class Registration Request 2025
Please fill out the registration information. Please include correct names, ages, phone numbers and email, even if you have taken a class in the past. This form will also serve as an emergency contact list. 
Ryan
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Email *
Kids classes below.  
Requirements*  Wheel Kids must have previous experience in a camp OR class at Bothwell Pottery AND must be at least 10 years old.
*
Required
Student(s) Name (age) *
2 Emergency Contacts (Name and Phone number) *

Permission / Waiver Agreement: 

I hereby authorize/consent myself and/or my child to participate in the camp/class/activity at Bothwell Pottery. I agree not to hold Bothwell Pottery or its representatives responsible for any and all injuries sustained/suffered by the be participants during the activities. I also agree to waive any and all rights and claims for damages that I believe I may have against Bothwell Pottery as a result of participation in the activities.

Photo Waiver:
I also authorize/consent Bothwell Pottery to use any photos, images or likenesses taken of myself and/or my child while at a Bothwell Pottery or at a class for presentation under any legal condition, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. I understand that there shall be no payment for this release. 
Please add bothwell.pottery.info@gmail.com to your contacts. 
Payment options, please comment with only your Child's Name  so I can keep track and avoid fees from the transfer. *
A copy of your responses will be emailed to the address you provided.
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