Student Release from Liability Waiver
PLEASE COMPLETE AFTER PAYMENT HAS BEEN MADE.

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Email address *
Student First Name
Your answer
Student Last Name
Your answer
Student Phone #
Your answer
Returning Student?
Please list any prior furnace glassblowing or glassmaking experience
Your answer
Class/Workshop Date
MM
/
DD
/
YYYY
Class/Workshop Time
Time
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