Sculpt Your Surroundings Registration Register below for the Sculpt Your Surroundings workshop with artist Isaac Scott November 7-9, 2025. "*" indicates required fields Name* First Last Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* Enter Email Confirm Email Workshop Registration*Please see cancellation policy at end of form for details. Workshop & Materials Fee, $440 K12 Educator Using Credit Balance Personal EmailIncase you move institutions, please tell us your personal email so we can still reach you with arts opportunities.School NameWatershed's K12 workshops are reserved for current Maine K12 teachers. Please list the name of the Maine-based school or institution where you currently teach.Number of Students & GradesPlease describe the number of students and what grades you teach.Cost ReimbursementFor grant purposes, do you anticipate this expense being reimbursed by your employer?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, 3 nights (Thurs, Fri, Sat) $195 Double occupancy room, 2 nights (Fri, Sat) $130 Using Credit Balance, will describe housing choice in Addl Info K12 Educator, 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 InformationIf 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.PermissionsPhoto 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 non-refundable deposit. 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 Fee + optional housing) Credit Card Cardholder Name Card Details Δ