Winking Moon Art
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    • Debra Wuliger, Teaching Artist
    • Winking Moon's Purpose
  • Camps
    • Summer Camps 2023
    • Application
    • Cancellation and Refunds
    • Frequently Asked Questions
    • Handmade Holiday Gifts Workshops
  • Birthday Parties
  • Drawing and Painting
  • Collage, Construction and Clay
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Winking Moon Application for all camps and Classes

​Winking Moon
Art Adventures
Application Form
​

Parents ____________________________________________________________
Student _______________________Birth date_______________Age___________

Sibling Name(s)______________________________________________________
___________________________________________________________________
Address_______________________________________________________________________________________________________________________________
Phone numbers: Home: ___________________ Cell:_______________________
Email address_______________________________________________________
Which is the best way to reach you?_____________________________________
Emergency contact person_____________________________________________
Phone number_________________________________________________
Doctor’s name and number____________________________________________
Session and class(es) you are interested in:


Please make checks payable to Debra Wuliger

If Winking Moon has to cancel a class, the full amount of the tuition will be refunded in the form of a check.
If a participant cancels 21 days or more before the first class, the full amount of the tuition, less a $10 processing fee, will be refunded in the form of a check or as a credit that can be used towards another Winking Moon class or camp within one year of date of issue.
If a participant cancels between 20 and 8 days before the first class, half the amount of the tuition will be awarded as a credit that can be used towards another Winking Moon class within one year of date of issue.
​ If a participant cancels in 7 days or fewer before the first class, tuition will be forfeited. Please check your calendars!

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