Adult's Class Registration Form

Thank you for joining our Ceramic Pumpkin Workshop

Monday, October 10 & 24, 2025
Artist's Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Is the enrolled student at-least 21 years old?*

YesNo
Your student is under 21. Please fill in the fields below.
Legal Guardian's Name*

First NameLast Name
Legal Guardian's Email*
example@example.com
Emergency Contact Phone Number*

Area CodePhone Number
Medical, Health Needs or Allergies We Should be Aware of?*

NoYes
Additional Medical Info *
How did you learn about the Whitemarsh Art Center?

Returning StudentWeb SearchSocial MediaReferralTownship EmailWhitemarsh LivingCommunity EventOther
Would you like to receive emails from the Whitemarsh Art Center?*

Yes, email meNo, I already get them or don't want to

Payment information*

Ceramic Pumpkin Workshop$95.00

October 10 — sculpt multiple decorative pinch pot pumpkins and more. October 24 — glaze your unique creations.

Enter coupon

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Thank you for joining our Ceramic Pumpkin Workshop