Corks and Colors

REGISTRATION

JCAHC Corks & Colors Buffalo and Kaycee
Name *

First Name Last Name
E-mail *
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Address *

Street Address

Street Address Line 2

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Choose the Corks and Colors month *

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Check here if this Corks & Colors meets more then once.

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Corks and Colors Fee *

JCAHC Member $35.00 Non Member $55.00 Become a member (January-December) plus Corks and Colors. $65.00
Payment Options *

Mail to Treasurer, JCAHC Pay now using Credit Card/PayPal
Corks and Colors Waiver: I agree to participate in this activity, and further agree to indemnify and hold harmless the Johnson County Arts and Humanities Council, the instructor and volunteers against all liability. Including property loss or for injury associated with my participation in this activity. *

Yes, I Agree
Registration is complete once your payment is recieved.

JCAHC/Corks & Colors
PO BOX 714
Buffalo, Wy. 82834
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