Catenary Kiln Woodfiring with Tim Christensen Registration "*" indicates required fields Name* First Last Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* Enter Email Confirm Email Workshop Registration - 50% due now, remaining balance invoiced to you*Please note: 50% of the workshop cost ($500) is due upon registration. The remaining 50% ($500) plus any additional housing costs will be invoiced to you via the email you provided at a later date, to be paid in full by February 25. Please see cancellation policy at end of form for details. Workshop & Meals, $1000 total Additional Housing (Optional)Housing in a single occupancy room for Saturday 4/26 and Sunday 4/27 nights is included in the workshop fee. If you are traveling from a far distance and would like to add an additional night for $65 a night, please indicate below. Rooms have shared bath facilities. Please bring your own bedding and bath towel. You may choose to stay Friday 4/25, Friday 5/2 and/or Saturday 5/3. 1 Additional Nights, $65 2 Additional Nights, $130 3 Additional Nights, $195 Additional Housing DatesIf you chose additional housing, please write below which additional dates you will be staying.Dietary Needs*Check all that apply. Watershed provides continental breakfast, lunch and dinner on Saturday & Sunday. Only breakfast is served Saturday, May 3. We do our best to accommodate most dietary restrictions. Those with restrictions outside of the below options are welcome to store supplemental food in the studio kitchenette. I do not have any dietary restrictions. Vegetarian Vegan Gluten free Other, I will explain in "Additional Info" below Additional InformationIf you wish, please use the space below to share any information pertaining to your wellbeing that Watershed staff should be aware of prior to the workshop. This could include dietary information, accessibility needs, etc.PermissionsPhoto Release*I grant Watershed Center for the Ceramic Arts and its authorized representatives permission to record my likeness and images of my work during the workshop. I further agree that any or all of the recorded material may be used, in any form, as part of publications, videos, brochures, advertisements or other digital or printed materials used to promote Watershed. I acknowledge that since the use of my likeness and my work is voluntary, I will receive no financial compensation. Agree Decline Email Address Release*I grant Watershed Center for the Ceramic Arts permission to share my e-mail address with the teaching artist and other participants of the workshop. Agree Decline Liability Waiver*Please read Watershed's Liability Waiver and check the box below to indicate your voluntary agreement. If you have any questions regarding the Liability Waiver, you may email Watershed's Executive Director at director@watershedceramics.org. By checking this box, I indicate that I have read the entire Liability Waiver, I fully understand it, I am agreeing to it voluntarily and I agree to be legally bound by it. COVID Health & Safety Guidelines*Watershed requires on-campus program participants to follow our COVID health and safety guidelines in order to care for the most vulnerable in our community. Please familiarize yourself with these before submitting your non-refundable deposit. Watershed reserves the right to adjust the guidelines, as needed. Read the guidelines here. I have read and agree to follow Watershed's COVID Health & Safety Guidelines Cancellation Policy*Please read Watershed's Cancellation Policy and check the box below to indicate your voluntary agreement. If you have any questions regarding cancellations, please email Watershed's Program Coordinator at afraser@watershedceramics.org. I have read and agree to Watershed's Program Cancellation Policy Total (Workshop & materials fees plus optional housing) Credit Card Cardholder Name Card Details Δ