REGISTRATION 2013

GA Seminars by the Sea - 2863 Old Highway One,

Hephzibah, GA 30815 PHONE: 706-495-6724

Name________________________________________________

Address______________________________________________

City _____________________State________ Zip__________

Telephone number_____________________________________

Emergency Contact and Phone #_________________________

E-mail ______________________________________________

I would like to register for:

Session One: Artist__________________________________

Session Two: Artist__________________________________

Session Three:­­­­­­­­­­­­­­­­­­_______________________________________

Filipe Exclusive Seminar Three _______ ***Special Pricing add $100

Mariela Exclusive Seminar Three _____ ***Special Pricing add $100

Fees: $750 (double) $850 (Single) Session One, Two or Three includes 5 nights Lodging, Catered meals, 4 classes, Firing, Evening demos ** Spouses are Welcome - $400.00/session for Spouse includes all except Classes. Day students $400/session-classes and lunch.

Session 1 $________________

Session 2 $________________

Session 3 $________________

Exclusive Session 3 ADD $100 $________________

Spouse Session 1 $________________

Spouse Session 2 $________________

Spouse Session 3 $________________

Sub-Total Tuition $________________

Optional Travel Insurance ($20/session) $_________________

Optional WOCP Club Dues $40 $____________________

GA Special Resort TAX (add $50/session for Double or Private)

Session One Tax $__________________

Session Two Tax $__________________

Session Three Tax $__________________

TOTAL $_______________ AMOUNT ENCLOSED W/ REGISTRATION $____________

All Credit Cards Accepted $250.00 minimum deposit for Reserved each Class space

House with____________________Airport Pick-up _______

List Dietary/Physical Restrictions on back of this sheet