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Continuing Education Register online at http://learn.wcu.edu Or Mail completed form to Educational Outreach 69 E. University Way, Cullowhee, NC 28723 ------------------------------------------------------------------------------------------------------------ REGISTRATION -- Arts of Metallica Art Day -- Begins 1/19/2015 First Name: ________________________ MI ______ Last Name: _______________________ Parent/Guardian: ________________________________________________________________ Mailing address: _________________________________________________________________ City _______________________________________ State _________ Zip__________________ Phone: _________________________ EMERGENCY Number: _____________________________ Email: ______________________________________________ Child's Age: ________________ Allergy or special needs we should be aware of? ______________________________________ Parent Signature: ____________________________________________ Date: ___________ Registration: $25.00 Method: [ ] Check enclosed payable to WCU [ ] Credit Card Cardholders Name: ____________________________________ Card Number: _____________________________________ Expiration Date: _______________ Signature: _____________________________________________________ Pre-registration is required for all programs. Cancellation refunds, minus a $10 processing fee, are available only until 3 business days prior to the event and must received in writing. Additional forms are available at http://learn.wcu.edu. For questions, please contact our office at 828-227-7397 or email: [email protected]. Monday, January 19, 2015 - from 9am to 2:30pm Cost: $25.00 WCU Bardo Arts Center Room 150 Lunch in Courtyard Dining Hall included *Space is limited to the first 20 registrants in each group: 7-10 years old, 11+. Western Carolina University will host an “Arts of Metalica” Art Day where youth will learn about the following art forms: repousee, wire sculpture, hammered copper jewelry and more. This hands-on workshop will have participants working in small groups with a member of the WCU Art Club assisting each group. WCU art instructor Erin Tapley is coordinating the day. A very limited number of scholarships are available. Arts of Metallica Art Day By submitting this registration, you (as parent or guardian) hereby release and hold harmless WCU, its officials, employees, and student volunteers from any and all claims, judgments, and damages that may be required to pay by reason of injury provided that the injury is not caused by negligence of the university. As the parent/legal guardian of this child, you give permission for the child to participate fully in this program at WCU and you further acknowledge that permission is granted to WCU for the child to be photographed for educational or publicity purposes.

Arts of Metallica Art Day - wcu.edu · Arts of Metallica Art Day By submitting this registration, you (as parent or guardian) hereby release and hold harmless WCU, its officials,

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Continuing EducationRegister online at http://learn.wcu.edu

Or Mail completed form to Educational Outreach69 E. University Way, Cullowhee, NC 28723

------------------------------------------------------------------------------------------------------------REGISTRATION -- Arts of Metallica Art Day -- Begins 1/19/2015

First Name: ________________________ MI ______ Last Name: _______________________Parent/Guardian: ________________________________________________________________Mailing address: _________________________________________________________________City _______________________________________ State _________ Zip__________________Phone: _________________________ EMERGENCY Number: _____________________________Email: ______________________________________________ Child's Age: ________________Allergy or special needs we should be aware of? ______________________________________Parent Signature: ____________________________________________ Date: ___________Registration: $25.00 Method: [ ] Check enclosed payable to WCU [ ] Credit Card

Cardholders Name: ____________________________________Card Number: _____________________________________ Expiration Date: _______________Signature: _____________________________________________________Pre-registration is required for all programs. Cancellation refunds, minus a $10 processing fee, are available only until 3business days prior to the event and must received in writing. Additional forms are available at http://learn.wcu.edu.For questions, please contact our office at 828-227-7397 or email: [email protected].

Monday, January 19, 2015 -from 9am to 2:30pm

Cost: $25.00

WCU Bardo Arts Center Room 150Lunch in Courtyard Dining Hall included*Space is limited to the first 20 registrants in each group: 7-10 yearsold, 11+.

Western Carolina University will host an “Arts of Metalica” Art Daywhere youth will learn about the following art forms: repousee, wiresculpture, hammered copper jewelry and more. This hands-onworkshop will have participants working in small groups with amember of the WCU Art Club assisting each group.

WCU art instructor Erin Tapley is coordinating the day.A very limited number of scholarships are available.

Arts of Metallica Art Day

By submitting this registration, you (as parent or guardian) hereby release and hold harmless WCU, its officials, employees, and student volunteersfrom any and all claims, judgments, and damages that may be required to pay by reason of injury provided that the injury is not caused by negligenceof the university. As the parent/legal guardian of this child, you give permission for the child to participate fully in this program at WCU and you furtheracknowledge that permission is granted to WCU for the child to be photographed for educational or publicity purposes.