Course Application Form

Please complete this application form, so that I can confirm that a place is available.

Course: *

Please select the course that you'd like to take.

Name: *

Please enter your first and last names.

Address: *

Please enter your full mailing address.

Other Relevant Information:

Please provide information such as special dietary requirements, comments or information about you.

Email: *

Your email address. A copy of your application is emailed to you here.

Telephone Number: *

Please enter your telephone number.

Potting Experience: *

Please let me know what previous experience you have of potting.

Other Courses Attended:

Any previous courses taken would help me in understanding your experience and interests

Please Note::

	Once confirmed a deposit is required (£50 for Weekend Course, £75 for a Three Day Course, £100 for a Five Day Course). The full fee is required one month prior to the course. Deposits are non-refundable if you cancel within one month of the course - so please make sure you are covered for such an eventuality. You can also print this page and return it by post to: Micki Schloessingk, Bridge Pottery, Cheriton, Swansea SA3 1BY, Wales, UK 

	Subject to places being filled we shall confirm the course is going ahead six weeks before the course start date.

www.mickisaltglaze.co.uk

Course Application Form