Building Colorful Busts with Andréa Keys Connell Registration

Name*

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Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Workshop Registration*

Please see cancellation policy at end of form for details.

Workshop & Materials Fee, $440

Using Credit Balance

Housing (Optional)*

Watershed offers a limited number of single occupancy rooms for $90/night and double occupancy rooms for $65/night, which will be filled on a first-come, first-served basis. Rooms have shared bath facilities. If staying on campus, please bring your own bedding and bath towel.

Single occupancy room, 3 nights (Thurs, Fri, Sat) $270

Single occupancy room, 2 nights (Fri, Sat) $180

Double occupancy room, 2 nights (Thurs, Fri, Sat) $195

Double occupancy room, 2 nights (Fri, Sat) $130

Using Credit Balance, will describe housing choice in Addl Info

Stay Off Campus

Dietary Needs*

Check all that apply.
Watershed provides continental breakfast Friday-Sunday and lunch on Friday and Saturday. We do our best to accommodate most dietary restrictions. Those with restrictions outside of the below options are welcome to store supplemental food in the studio kitchenette.

I do not have any dietary restrictions.

Vegetarian

Gluten free

Vegan

Other, I will describe in "Additional Info" below

Additional Information

If you wish, please use the space below to share any information pertaining to your wellbeing that Watershed staff should be aware of prior to the workshop. This could include dietary information, accessibility needs, etc.

Permissions

Photo Release*

I grant Watershed Center for the Ceramic Arts and its authorized representatives permission to record my likeness and images of my work during the workshop. I further agree that any or all of the recorded material may be used, in any form, as part of publications, videos, brochures, advertisements or other digital or printed materials used to promote Watershed. I acknowledge that since the use of my likeness and my work is voluntary, I will receive no financial compensation.

Agree

Decline

Email Address Release*

I grant Watershed Center for the Ceramic Arts permission to share my e-mail address with the teaching artist and other participants of the workshop.

Agree

Decline

Liability Waiver*

Please read Watershed's Liability Waiver and check the box below to indicate your voluntary agreement. If you have any questions regarding the Liability Waiver, you may email Watershed's Executive Director at director@watershedceramics.org.

By checking this box, I indicate that I have read the entire Liability Waiver, I fully understand it, I am agreeing to it voluntarily and I agree to be legally bound by it.

COVID Health & Safety Guidelines*

Watershed requires on-campus program participants to follow our COVID health and safety guidelines in order to care for the most vulnerable in our community. Please familiarize yourself with these before submitting your payment. Watershed reserves the right to adjust the guidelines, as needed. Read the guidelines here.

I have read and agree to follow Watershed's COVID Health & Safety Guidelines

Cancellation Policy*

Please read Watershed's Cancellation Policy and check the box below to indicate your voluntary agreement. If you have any questions regarding cancellations, please email Watershed's Program Coordinator at afraser@watershedceramics.org.

I have read and agree to Watershed's Program Cancellation Policy

Total (Workshop & materials fees plus optional housing)

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