Sign me up for the following Class(es):

Include Payment and This Form ASAP to attend

any of the above classes – they fill up fast!

 

Class: _____________________________  Date: __________  Cost: $_______

 

Name: ___________________________________________________________

 

Email Address:_____________________________________________________

 

Post Office Address:_________________________________________________

 

City: _______________________________  State: _______  Zip: ___________

 

Home Phone: _________________________Work or cell: __________________

 

check enclosed ______ or charge to my Visa ______ MC ______ Discover _____

 

# __________________________________________expires:___ ___ / ___ ___

 

RELEASE/REFUND POLICY: Full refund up to 5 days prior to start of class. No refunds on first
day of class. I release Merry Go Round, Daydreams Stained Glass Inc, and/or its employees,
representatives, agents from any and all responsibility and liability in case of accident or injury.

                       
Signature:____________________________________________

 

Please note that we will do everything possible to ensure your safety, and safety tips are stressed in every class.

 

PRIVATE, ONE-ON-ONE CLASSES

Tuesday through Friday Only • Available by appointment

in the following:

 

• Intro to Sandblasting- $250 - 1 day class

• Beginning Lampwork Beadmaking- 1 day class

• Beginning Light catcher: $85 - 1 day class

• Beginning Fusing/Slumping: $175 - 1-1/2 - day class

• Fused Jewelry or Tiles: $100 - 1 day class

• Kaleidoscopes - Beginner: $120 -2-days 

      - Advanced: $175-2-days

* All supplies are furnished for all private classes.

 

Please Print out this form and Return with payment to:

 

Merry Go Round Stained Glass

3021 Lackland Rd.    Fort Worth, TX 76116

Phone/Fax: 817-763-0589

 

Please do not Email credit card numbers.