important noticeRegistration is a two step process, registration and payment. Registration can be done by either printing and mailing your registration (recommended if you are paying by check) or electronically (required if you are paying via credit card using PayPal). You can enter your credit card info on the registration form and print it for mailing if you do not want to use PayPal to handle your credit card payments. We do not recommend transmitting your credit card info electronically, with your registration, using any method other than PayPal because of electronic security issues.

Registration Form
September 29 – October 2, 2011
4-H Conference Center, Front Royal, VA

Attendee

           



        

The following information is necessary for us to contact you. We will NOT share your phone number or email address with any other parties. Please make sure your entries are correct. Thank you.

      

Lodging

If lodging is at the 4-H Center, you may note roommate preference(s):

(1)
(2)

Other Needs (check all that apply):     handicap   vegetarian   I snore

For 4-H lodging, please put me with potters from:     Glen Echo     Manassas Clay

 Audrey Moore     Other Studio 

Volunteer

  I would like to volunteer 1 hour of my time to help at the conference.

  I would like to volunteer to shadow/assist a presenter at the conference.


Details

Cancellations: 80% refund if cancelled before Sept. 1, 2011. No refunds after Sept. 1, 2011.

Notifications:

  • A confirmation email will be sent upon receipt of your payment.
  • Directions to the 4-H Center will be mailed in a packet prior to the conference.
  • You will receive a conference packet with final schedule and details when you arrive.


Registration
Sessions Price
Full Conference
All 4 days. Per person cost is based on sharing a room at the 4-H Center. Includes all meals (except Sat. night)		   $ 425
Full Conference
All 4 days; no lodging, w/ meals		   $ 375
Full Conference
All 4 days; no lodging, no meals		   $ 330
Above registrations include one-year membership dues & Friday Night Annual Dinner Meeting
Pre-Registration Workshops
First-come basis and you MUST be a Full Conference attendee to sign up
Raku Firing with Brett Thomas
(up to 3 pieces)
(4 to 6 pieces)
Fee includes glazes & material

Please indicate session preference
  $ 50
  $ 95

    
AM    PM
Primitive Firing Sampler Workshop
(up to 3 pieces)
Fee includes glazes & materials

Please indicate session preference
  $ 50


    
AM    PM
Day Tickets
(includes one-year membership dues and 4-H Center lunch. Lodging is NOT included)
Friday
(workshops as available—full conference attendees have 1st choice)		   $ 205
Saturday Main Presenters Demonstrations   $ 240
Spouses, Guests, and Others Not Attending the Conference
Friday Night Annual Dinner Meeting Only		   $ 30
Total Fee $

Payment Options
If paying by check, print and mail:
  Check enclosed. Make payable to: The Clay Connection

If Mailing with charge card info

Use only if mailing your registration via US Mail.

 Charge my:     VISA credit card       MasterCard credit card

Credit card number:      Exp. date


_________________________________________________________
Signature (required if paying by credit card)

Click here to print your application for mailing
If paying via check or mail-in credit card information, mail the completed form with payment to:
The Clay Connection
9th Biennial Mid-Atlantic Clay Conference
Post Office Box 3214
Merrifield, Virginia 22116-3214
Paying electronically via PayPal
Step 1 Step 2
Email your Registration

Click here to generate email, then click SEND on your email system to mail the form
(May not work if you use Opera)
Click here to pay via PayPal