Class and Workshop Registration

Registration: Students may register in-person, by mail, or by phone. Please leave a message with your name and telephone number, and we will return your call. Although our Gift Shop and Gallery is open on Saturdays, our regular office hours are Wed, Thur & Fri: 11-4.

Payment: Payment should be made at time of registration, or within three working days if registered by phone. Paid registrations will have priority over non-paid if a class fills up.

Fee: Class fees are usually discounted for members; please make certain that you have enclosed the proper amount for your membership status and note whether materials fees are due at registration or paid to the instructor at the first class. Annual membership is $40 for an individual or $55 for a family. You may check your membership status by calling RiverArts during office hours.

Please make check payable to and mail to: Chestertown RiverArts 

315 High Street, Suite 106 

Chestertown, MD 21620 

Refund: If a class is cancelled by Chestertown RiverArts, you may request a refund or apply the fee to another class. 

___________________________________________________________________________________ 

Please fill out the following. (Use a separate form for each class.) 

Class or Workshop:__________________________________ Date Time: AM_____PM______ 

Name _________________________________________________ 

Address:_________________________________________________________________ 

__________________________________________________________________ 

State___________ Zip code_____________________________ 

Telephone: day ________________eve ________________ Email _________________________________ 

Cell:__________________________ 

RiverArts member? Yes _______ No ________ My membership is included __________ Total Amt. Paid ________________ 

How did you learn about this class?______________________________________________________________ 

Release of claims: This registration is a release of all liability. In case of accident, property losses or illness, I will not hold Chestertown RiverArts, Inc, or persons employed by or involved with Chestertown RiverArts, Inc., responsible. This release covers classes at RiverArts, Still Pond Station, and any off-site facilities where classes are held. I will be fully responsible for the security and care of my personal property. I hereby agree not to smoke in the building and to observe all studio safety rules, policies, and procedures. I have read and agree to the above Registration and Release.

Signature ________________________________ Date ___________

Office use only: Cash ____ Check No. ___________ Rec’d by _________ DB _____AMT _

If payment is made by credit card, information may be faxed to: 410-778-6300 

Charge my tuition to: (Check One) ___VISA ___ Mastercard ___Discover

Card Number: ____________________________________________________ Expiration Date: ________

Cardholder’s Name: _______________________________________________

(Please Print)

Authorized Signature __________________________________Date ___________

Updated 1/2013

Print PDF of Registration Form