Paint-by-the

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Paint by the Glass
Here is your opportunity to create a unique piece of art that you can
cherish for years to come, or give as a unique gift. Join Sooo Chic Designs
and the Clinton Parks and Recreation Department for a wine glass painting
class. Our instructor will walk you through creating this unique piece of art.
The more the merrier, as this is a social class designed to engage the
participants, so don’t be shy about inviting friends! We are offering two
separte classes over
the winter. All supplies included, participants will decorate 1 wine glass.
Please check the box next to the class you are interested in attending.
Date
18th,
Friday, January
2015
Sunday, February 8th,
2015
Time
Cost
Location
6:00pm8:00pm
1:00pm3:00pm
$35.00
Clinton Parks and
Recreation Department
Clinton Parks and
Recreation Department
$35.00
To register: Please complete this registration form and mail it in with payment. Checks may be made payable to the
“Town of Clinton” and sent to Parks & recreation, 560 High Street, Clinton MA 01510
Let’s Pinterest Class
Name: _________________________________________________________________________
DOB: _______________________
(Please Print)
Address: _______________________________________________________________________________________________________
E-mail: _____________________________________________
Phone: ___________________________________
Emergency Contact: ____________________________________ PHONE________________________
I give Clinton Parks & Recreation permission to use pictures taken during the program on their website and in promotional materials.
Injury Waiver:
In consideration of participation of the minor player named above in this recreation program, the undersigned hereby consents to his/her
participation and releases and holds harmless the Town of Clinton and the Clinton School District and their officers, agents, and employees from
any liability for, and waives all claims, suits, or causes for action that the undersigned, as parent or guardian, and said m inor, either before or after
he/she may reach his/her age of majority, may have now or hereafter based on or arising from, any injury suffered or incurred by the minor player
as a result of, or in conjunction with, his/her participation in said recreation program. Such waiver and release to be in effect without regard to
whether such injury is the result of or caused by the fault of the town of Clinton or the Clinton School District or any of their officers, agents, or
employees. This instrument is intended to take effect as a sealed instrument. I further certify that I/ my child is medically fit to participate in the
above recreation program.
Signature: _____________________________________________________
Date: ___________________________
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