LaGrange Sugar Workshop

Registration Form

NAME:________________________________________________________

Address:______________________________________________________

City:_________________________ State:_________ Zip:______________

Phone:__________________________ Email:_________________________

Minors 12-16 y/o will need to have an adult in the class with them (if the adult does not wish to actually participate in the class, they will need to pay just the registration fee.)

Class Fee’s: ______ classes x $45.00 = $ __________

Registration Fee (includes catered lunch) $ ___________

Thru October 24, 2009……. $ 20.00

October 25 – November 14, 2009……..…. $ 50.00

- No mail in registrations accepted after November 03, 2009

- Must be payed at the door (CASH ONLY) after that date

TOTAL ENCLOSED: $ _____________

* Make checks payable to Mary Klocek please.

Classes:

9-11 ______________________________________

12:30-2:30 ______________________________________

3:15 – 5:15 ______________________________________

Assistant policy: Anyone requiring an assistant (minors 12-16, handicap assistant, interpreter, etc.) will need to pay a

Registration fee for the assistant if they do not wish to participate in the class.

Cancellation policy:  Prior to October 16, 2009 - full refund allowed less $20 administration fee.

After October 16, 2009 - NO refunds unless there is a waiting list and your seat is filled.

Return Check Fee: $40.

*Class sizes are limited and will be filled on a first come-first served basis (no seats will be reserved without payment.) If a chosen class is full, you will be contacted ASAP to see if you wish to sign up for a different class, or be refunded that class fee. Check the website as class openings will be updated often.

Mail completed form w/ payment (payable to Mary Klocek) to:

Lagrange Sugar Workshop

C/O Mary Klocek

PO Box 362

LaGrange, OH 44050