Kingsport Art Guild Workshop Registration Form http://www.kingsportartguild.com Workshop: “Painting Town and Country in Pastel, Oil, or Acrylic” (Circle your choice of medium above) Instructor: Ray Hassard rayhassard.com Dates: Monday, April 28 and Tuesday, April 29, 2014 9 a.m. – 4 p.m. Room 239, Kingsport Renaissance Center, 1200 E. Center St., Kingsport, TN Name: _________________________________________________________ Address: _______________________________________________________ Phone: home: ___________________ cell: ___________________________ Email: __________________________________________________________ Cost of workshop: Please check the category that applies to you $295 for KAG members ___________ $330 for non-members ____________(includes a one year trial membership in the Kingsport Art Guild) A deposit of $75 for members and $85 for non-members is required to hold your space. The deadline for the down payment is February 28. The remainder of the fee is due March 28. You may also pay the total amount by February 28. REFUND POLICY FOR WORKSHOPS For KAG workshops, an amount totaling ¼ of the cost of the workshop is required as a down payment to hold your space. The remainder of the fee is due four weeks before the workshop begins. Cancellation: If a participant cancels outside of four weeks before the start of the workshop and has not paid the full amount of the workshop, the down payment minus a $20 processing fee will be refunded. If a participant cancels within four weeks of the first day of the workshop and has paid the full amount, he will receive a refund for the amount minus the down payment. If a participant cancels the day of the workshop or doesn’t show, there will be no refund. If extenuating circumstances occur such as an emergency, death, or tragedy, the executive board and workshop chair will review the request for a full refund. If the workshop is cancelled by the Kingsport Art Guild, a full refund will be given. For additional information or if you have questions, please contact Nancy Jane Earnest at (423) 282-8343, (423) 773-1919, or nancyjane51@charter.net To reserve your space, please send a completed copy of this document and a check payable to Kingsport Art Guild to Nancy Jane Earnest, KAG Workshop Coordinator, 1702 Sundale Road, Johnson City, TN 37604 A supply list will be sent to attendees prior to the workshop. Please make a copy of this form for your records.