Crefeld Glass Studio

Glass Class Registration Form

Register for a Glass Class!

Your Information

This form can be used to register for all glass classes except those offered through Mt. Airy Learning Tree (MALT). Please visit their website, www.mtairylearningtree.org, for those classes. Unless otherwise indicated, all classes are open to individuals ages 16 and older, and Teen classes are for students ages 13-19.

First Name

Last Name

Phone

How did you hear about The Crefeld Glass Studio?

Class Information

Please select the class(es) for which you would like to register:

1209 - Intro Lampworking - Apr 10, 17 & 24, 6-8pm ($104)
1215 - Glass Casting - Apr 11, 18, 25, & May 2, 6-9pm ($180)

Please select payment method:

Personal Check (Checks should be mailed in or dropped off, and received before the day of your first class.)
Credit Card - Please call me at the number listed above to take my payment over the phone via a Visa or Mastercard credit card.
Gift Certificate or Groupon Voucher (Please enter the voucher number, located in the upper right corner of your voucher, in the field below)

Please enter your Gift Certificate or Groupon Voucher number, if applicable.

Coupon Code (please subtract your discount when sending in payment)

Checks should be made payable to: The Crefeld School. Please mail to: The Crefeld Glass Studio, 8836 Crefeld Street, Phila, PA 19118.