Wine & Pottery Night Registration

Wine & pottery night with jimmy potters studio registration  

Name *
Name
Birth Date (must be 21 years or older to participate) *
Birth Date (must be 21 years or older to participate)
Name of Second Guest
Name of Second Guest
Name of Third Guest
Name of Third Guest
Name of Fourth Guest
Name of Fourth Guest
Phone *
Phone
Address *
Address
Payment Information
Cardholder's first and last name
Cardholder's first and last name
Pottery Pickup Policy *
Due to the nature of the ceramic process, pottery pieces painted during Wine & Pottery Night will have to be left with Jimmy Potters Studio to be clear glazed and fired in our studio kilns. Because Wine & Pottery Nights are mobile events, guests will be responsible for picking up their pottery pieces in our Arlington or Fairfax Studio depending on the location of the event. Usual pick up is 10-14 business days after the event depending on pottery size, kiln load and studio schedule (i.e., holiday hours). We do not make phone calls when your pieces are finished, please return for your piece within 2 weeks of the firing time. After 2 weeks, we are not responsible for damaged pieces or refunds. Shipping is available for an extra fee.
Release of liability *
Release of Liability I release and hold harmless Jimmy Potters Studio, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Jimmy Potters Studio its owners and operators or in route to or from any of said premises.
Photo release *
I grant to Jimmy Potters Studio, the right to take photographs of me and my work in connection with any Jimmy Potters Studio class. I authorize Jimmy Potters Studio, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Jimmy Potters Studio may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.