Summer 2008: 11 th Annual Pasca Pottery Camp

For ages 5 – 15

All camp sessions are from 9:00 a.m. – 11:00 a.m. (earlier time)

Camp 1: TBD       Camp 2: TBD

Camp projects include items such as pinch pots, sculptural pieces, coiled work, slab work, etc. Each child will make a pot on the potter’s wheel and be given a pre-made pottery piece to decorate, keep and use! Classes will be held outside or in my garage/studio. A snack is provided each day. Classes will be confirmed by phone/email by mid-May. Information and directions will be sent to registered participants by email. Check out my website for examples of camp work: http://www.abcplace.com/pascapottery

Cost: $150 per child, $5 discount if your check/registration is received by March 31, 2007. $5 discount if you’ve attended Pasca Pottery Camp in the past, $5 discount for your 2 nd child (or more) attending! (If you are registering before March 31, 2007 and your child has attended Pasca Pottery camp in the past, the cost will be $140 for your first child and $135 for each of your other children that have attended camp in the past.)Call or email if you have any questions, or would like to confirm a spot: Molly Pasca (919) 383-5013 or email: pasca.pottery@gmail.com

To register, send signed waiver/registration form & check (payable to Pasca Pottery) in the amount of $150 (minus discount) to:

Pasca Pottery Camp, 5 Wyndham Place, Durham, NC27705

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Name:________________________________ Age:__________ (circle) MALE or FEMALE

Address: __________________________________________________ Zip Code:____________

Session your child wishes to attend (number & dates):___________________________________

Alternate session if first choice is full (number & dates):__________________________________

Parent’s Names: _________________________________________________________________

Home Phone: __________________________ Work/Cell Phone: __________________________

EMAIL (for confirmation & info.) ____________________________________________________

List any allergies your child has: ____________________________________________________

Emergency Contact: _____________________________Number(s): ______________________

Camp Waiver/Medical Release: “I hereby authorize emergency medical treatment for the above-named child/children in the event of any injury sustained during participation in Pasca Pottery Camp. I hereby authorize any health-plan-participating or non-participating physician, hospital or other health care provider to give emergency medical care and treatment to the above-named child at no cost to Pasca Pottery. The undersigned has read this medical authorization consent form and declares and affirms consent to the content stated herein. I assume all financial responsibility and waive all claims or future claims against Pasca Pottery for any injuries sustained by the above-named child.”

Parent Signature: ________________________________________ Date: ________________________

I give my permission to use my child’s photograph in future flyers for Pasca Pottery and/or use of the Camp website. Signature: ______________________________________ Date: _________________________