Child enrollment 2025 Winter sessionOne child per registration. Student Full Name * First Name Last Name Winter 2025 After school workshops * MAURY ES- 2025 WINTER SESSION/SOLD OUT Monday | Tuesday | SWS DC| 1/7- 3/11 | 10 wks | $285 Wednesday- Thursday Thursday Friday Parents Name * First Name Last Name Parent Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone contact 1 * (###) ### #### Student Information Child's age * 5 6 7 8 9 10 11 12 Child's Grade Level Birthdate * MM DD YYYY Disabilities * Special Needs * PAYMENT INFORMATION Cardholder's First & Last Name * First Name Last Name Card Type* VISA MASTERCARD DISCOVER AMERICAN EXPRESS Credit Card # Expiration Month Expirtation Year 3 Digit code for VISA, MASTERCARD & DISCOVER | 4 Digit code for AMEX * What is the zip code that this card belongs to? * Promo Code If you have a promo code, please enter it. Otherwise, hit Submit! Thank you! Your child is enrolled. You'll receive more info about the pottery class via email shortly. If you have any questions, email us at jimmy@jimmypotters.com. Thanks!
