REG. FORM
Your Name

Your Name


Your Phone

Your Phone


Your Email

Your Email


What class are you registering for?

What class are you registering for?


Project size and color.

Project size and color.

If you are registering for any Groupon or Fused Combo class,  please let us know the project for each attendee and base color glass (white or clear).
If you are registering for any project that offers multiple sizes, please let us know your choice of size and base color (if applicable).

What is the date and time of your class?

What is the date and time of your class?

Date Time
How many students will be attending the class, including you?

How many students will be attending the class, including you?


Will you be using a Groupon coupon? If so, how many?

Will you be using a Groupon coupon? If so, how many?


Are you using or purchasing a Gift Certificate?

Are you using or purchasing a Gift Certificate?

If you are using a gift certificate for a class, please let us know and bring it to class.
If you would like to give a gift certificate for a class, please provide the following information and when you would like us to send the certificate or if you will pick it up:

Name
Address
Amount $ or name of class
To:
From: