Corks and Colors

REGISTRATION

JCAHC Corks & Colors Buffalo and Kaycee
Choose your Corks & Colors for November. *

Up cycled Paper Roses Photographing the Stars
Name *

First Name Last Name
E-mail *
Phone Number

- Area Code Phone Number

Address *

Choose the Corks and Colors month *

January February March April May June July August September October November December
Check here if this Corks & Colors meets more then once.

YES
Check if this Corks and Color event is located in Kaycee

Yes
Corks and Colors Fee *

JCAHC Member $35.00 Non Member $45.00 Become a member (January-December) plus Corks and Colors. $55.00 Become a member (June-December) plus Corks and Colors. $45.00 Photographing the Stars (November) $55.00 members Photographing the Stars (November) $65.00 non-members
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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REGISTRATION