Carol Simmons Class Waiting List
Fantasy Flowers and Totems
DATES: April 6-7-8, 2018
TIME: 9:30 am to 5:30pm
LOCATION: Holiday Inn Express, Cardiff, CA
COST: $295
Email address *
Your Name *
First & Last Name
Your answer
Your Address *
Your answer
Home or Primary Phone# (format: 619-123-4567) *
Your answer
Cell Phone# (format: 619-123-4567)
If you do not have a cell phone or do not wish to post it here just type NONE.
Your answer
Emergency Contact *
Your answer
Emergency Contact's Phone# (format: 619-123-4567) *
Your answer
Are you a member of SDPCG? *
MEMBERS ONLY: Do you want your name added to the Memorial Fund drawing for a chance to take this class free?
Class Focus
This class will focus on creating simple canes that can be used to construct multi-layered fantasy flowers with interchangeable parts or multi-component totems (for those not into flowers). Please check the box below that applies to your intended class product (for Carol’s planning purposes).
I plan to make... *
Level of expertise in Polymer Clay? *
Do you have any special needs you’d like the instructor to address?
Your answer
Future Class Suggestions?
Do you have any recommendations for other instructors or techniques you would like to learn?
Your answer
PAYMENT - Read the fine print below. You don't want to screw this part up! *
Choose one. Complete this form and click the "SUBMIT" blue button below. You will automatically be sent an email with the payment link. The email subject will be "SDPCG - Here's your Carol Simmons Class Confirmation and Payment Link". If you do not receive the email within 4 hours, contact Nancy Ulrich (ulrich.nancy@gmail.com)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms