MAGIC GLASS GETAWAY

Registration Form

***MAGIC GLASS GETAWAY***

Please complete this form and return it with your $50 deposit to Leanne.  Space is limited, workshops will be filled on a first come first served basis.  Leanne Purkis Blevins,  1701 Lynbrooke Drive, Yardley, PA  19067 :  If you'd like to make your deposit using paypal you can click on the button at the bottom of this page to send payment and copy, paste and email this form to me at MagicGlassArt@aol.com

Name: ___________________________________________________________

Address: _________________________________________________________

Phone: ___________________________________________________________

Email: ___________________________________________________________

Full Weekend ______ One night ______ Friday or Saturday ______ Not sleeping over _____

Please note these are dormitory style sleeping accommodations – with shared sleeping quarters and shared bathrooms.  You must bring your sleeping linens, pillow and towels with you. If you’d like to share your cabin with a particular person please make a note on this form.

If staying just one night please indicate which meals you will be present for _______________

Not staying the full weekend? Would you like to add any meals?  If so which ______________
Do you require a vegetarian option? ___________

Which workshops do you plan to attend? Schedule is attached. If taking “open fusing” be sure to check www.magicglassart.com for project choices and email Leanne at Magicglassart@aol.com at least one week prior to the getaway.  If taking any bead making please indicate if you are bringing your own equipment.

Friday: __________________________________________________________

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Saturday: ________________________________________________________

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Sunday: __________________________________________________________

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