Please fill in all blanks and answer all questions and please print clearly.
Please also send an email to Lynda at lyndag@lyndasartistichaven.com —things can get lost or delayed in snail mail!
Make checks payable to Lynda Gilcher and send them to:
Lynda Gilcher
c/o Lynda's Artistic Haven
529 Main Ave.
Loveland, Oh. 45140 Ph# 513.697.9290
Name: _______________________________________
Phone #: ________________
Address:___________________________________________________________
Email address: ____________________________________
We MUST have the following:
Emergency contact person __________________________________________________
Emergency contact phone# _________________________________________________
Roommate Info, check one:
[ ] I need a roommate
[ ] I have roommate(s); name(s) _______________________________
[ ] NO roommate
*If you have special needs (foods, allergies, physical limitations, etc.) please let us know so we can arrange
appropriate accommodations.
_________________________________________________________________________________________
EARLY BIRD REGISTRATION-- October 11-November 1, 2016: (Check one of the following)
[ ] Guild Member—4 day $155 [ ] Non-guild member—4 day $170
REGISTRATION FROM NOVEMBER 2-DECEMBER 15, 2016
[ ] Guild Member—4 day $180 [ ] Non-guild member—4 day $195
Cancellation policy:
Cancellation prior to 1/10/17--FULL registration fee
Cancellation 1/11/17 to 1/31/17—registration fee minus $30
Cancellation AFTER 1/31/17—NO REFUND
** Call Hope Hotel for room reservations—937-879-2696. Be sure to ask for the Buckeye Clay Bash room rate ($97.67 per night) when you call.
DAPCG/CPCG/HOPE HOTEL are NOT RESONSIBLE for items which are lost or stolen. Please take care of your property.