SUMMER SESSION APPLICATION FORM
Please print out the application form and fill it out, printing legibly with a ball point pen.
SUMMER SESSION ONE: JULY 12-18, 2010: _____
SUMMER SESSION TWO: AUGUST 7-13, 2010: _____
NAME:________________________________________________________________
ADDRESS:____________________________________________________________
CITY:_________________________________________________________________
STATE:__________________________________ ZIP:_________________________
TELEPHONE: (day)_______________________ (eve)_________________________
e-mail:_______________________________________________________________
OCCUPATION:________________________________________________________
EMERGENCY CONTACT:
NAME:_______________________________________________________________
TELEPHONE:_________________________________________________________
DO YOU HAVE A SPECIAL DIET?
Please tell us about your carving experience. Include a separate sheet if you wish.
Workshop Tuition for either SUMMER SESSION is $850 (including tax) which also includes two cubic feet of limestone, and lunch each day ($795 for returning students). A deposit of $400 is due with your application form. We accept Visa or Mastercard. Please include your card number and expiration date, signature, and exact billing address. Students are accepted on a first-come, first-served basis. * Applicants are accepted on a first-come, first-served basis. * If a pre-registered applicant has a change of plans, a refund, subject to a $75 cancellation fee, * No refunds will be given after June 28 for Summer Session 1 or July 24 for Summer Session 2. * In the event of the cancellation of the workshop due to unforeseen circumstances,
The balance is due three weeks before the workshop begins.
Please make your check or money order payable
to Southwest Stoneworks, and send it, with this form to:
PO BOX 248
DIXON, NM 87527
ATTN: SAX STONECARVING WORKSHOP
Please indicate Session 1 or Session 2
will be made if the applicant's position can
be filled from the waiting list.
all payments will be refunded in full. We assume no responsibility for travel costs.