Course Registration Form

Class Enrollment Form

***PLEASE READ*** In order to guarantee your spot please make sure you fill out this form and contact Instructor to put your deposit down prior to class start date. We can not guarantee your enrollment without securing your class deposit. Once we have confirmed your enrollment deposit of $50 you will receive a confirmation email accepting and securing your enrollment. Deposits are non-refundable, thank you for your understanding.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Please select the class you want to enroll in, after your selection please read the bottom for instructor contact info and how to make your class deposit. (Deposit not required for Saturday hand-building sessions. This is a pay by hour session)
Upon enrollment submission please reach out to the instructor listed next to your class to make your deposit. A reminder that YOUR ENROLLMENT IS NOT GUARANTEED UNTIL YOU RECIEVE A CONFIRMATION EMAIL FROM US! Class spots are limited and spots fill up fast so please make sure to reach out if you have not recieved your confirmation email.
- For classes led by Jen call or text (253)-471-1312.
- For classes led by Emiko (with the exception of the saturday handbuilding sessions) call or text (253)-257-5510.
For any questions, please feel free to leave below or reach out to us via email at stacomaclaycooperative@gmail.com

THANK YOU! We look forward to getting muddy with you! :D
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Class Enrollment Form