REGISTRATION

Registration

for E Trans
Please Reserve your registration for any of our classes by submitting the online form below.
don't forget to add your expiry date and V code located on the back of your card.
Please submit the age and grade (of children) and number of participants for group events. Once we receive your request, we will contact you by phone or email to confirm your registration and make arrangements for payment.
Payment may be made either by E Transfer to pottersaddict@gmail.com (call us for the code) or by Visa, Master Card or by cheque Call 250-763-1875 pottersaddict@gmail.com

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Classes *

Preferred Date(s) *

Address, Prov. and area code *

Line 1

Line 2

City

State

Zip Code

Country

Credit Card: Visa / Master Card: Number, Exp. date and V code (on back of card) *

Expiry Date m/yr *

V Code: 3 digits on back of card *

Submit