Registration Form

Name: ___________________________________

Address: _________________________________

City: _______________State: _____ Zip _______

Phone: ___________________________________

E-Mail Address: ____________________________

Circle Session/Workshop you are signing up for.

Workshop 1. July 11 All Cracked Up

Saturday, 2pm – 4pm, Fee: $58.00

Workshop 2. July 18 Sparkling Sea Stained Glass

Saturday, 9am – Noon, Fee: $45.00

Workshop 3. July 25 Return Me to the Sea

Saturday, 9am – 1pm, Fee: $50.00

Session 1. August 8, 22, 29 Beginning Stained Glass

Saturday, 9am – 1pm, Fee: 75.00

Please check class & workshop description pages for tool & supply requirements.

Please return above form along with class fee.

Registration ensures your place in class. If you cancel prior to 10 days of beginning class date you will receive a refund minus a $10.00 cancellation fee. No refund if cancelled within 10 days of class.

Pregnant or Nursing Women Should Check With Their Doctor Before Enrolling!

Mail To: Wentz Stained Glass Studio, 48 York St., Gettysburg, PA. 17325, Phone: 717-334-0906