Registration Form 

NAME____________________________________________________________________

ADDRESS_________________________________________________________________

Email_____________________________________________________________________

Telephone _________________________________________________________________

$250 payable by Check # _______ Cash_____ 

Visa_____ MasterCard_____ [can be taken over the phone]

Fee must be paid BEFORE classes begin. No refunds  after first class. (Minus $50.00 for first  class.)

Class times (Please check one)

_____ Wednesday morning       10:00 - 1:00

_____ Saturday morning            10:00 - 1:00

Make sure that your check is signed, and mail this form to:

Sundog Stained Glass Studios

1383 Kings Hwy.

PO Box 319

Sugar Loaf, NY 10981

Thanks so much!