Register online at
andersonranch.org
2019 summer workshop application
USE ONE FORM PER STUDENT
PLEASE PRINT CLEARLY
This application must be completed by all students (adults and children) either from this catalog or online.
Requests are accepted on a first-come, first-served basis starting January 2, 2019, 9AM MST.
STUDENT NAME
MALE
FEMALE
OTHER
BIRTH DATE
MAILING ADDRESS
CITY
STATE
DAYTIME PHONE
ZIP CODE
CELL PHONE
EVENING PHONE
EMAIL
FAX
PARENT NAME (for children’s registration)
WORKSHOPS
HOUSING (A full meal plan is included with dorm housing)
Please only list as many workshops as you
hope to take; i.e., it is not necessary to provide
backup choices. If a workshop is full, we will
place your name on the waitlist and will contact
you to see if there are other workshops that
interest you. Please attach another sheet for
additional workshops if you would like to enroll
in more than four classes.
FIRST WORKSHOP
HOUSING PLAN
FIRST CHOICE
SECOND CHOICE
THIRD CHOICE
LIMITATIONS AND REQUESTS
Do you have any limitations that require an accommodation?
N/A
YES
If yes, please explain:
Anderson Ranch tries to make accommodations for limitations of its students and requires that each
student inform Anderson Ranch of any limitation needing accommodation as part of this registration. If
no limitations are disclosed as part of this registration form, Anderson Ranch may assume that you need
no accommodations.
WORKSHOP #
INSTRUCTOR
Please list any roommate or guest requests:
SECOND WORKSHOP
PAYMENT
WORKSHOP #
A deposit of $500 will be due upon acceptance into workshop(s) and housing to hold your space. The
balance is due in full 60 days prior to the start of your first workshop and will automatically be charged
to the credit card on file unless you make other arrangements prior to the due date. The exception is
if the total cost of the workshop (tuition, studio fee and registration fee) is less than $550, which is the
case for weekend photography workshops and children’s classes – then payment in full is due at the time
of registration.
INSTRUCTOR
THIRD WORKSHOP
WORKSHOP #
INSTRUCTOR
Please check one
FOURTH WORKSHOP
Payment method
WORKSHOP #
INSTRUCTOR
I wish to pay the Tuition Price
I wish to pay the Tuition + Studio Support Donation
Check Money Order Cashiers Check
Visa Mastercard Amex
Discover
Card Number
Cardholder’s Name
Expiration Date
MAIL THIS FORM
Anderson Ranch Arts Center
Post Office Box 5598 (USPS)
5263 Owl Creek Rd. (UPS, FedEx)
Snowmass Village, CO 81615
FAX 970/923-3871
CANCELLATION POLICY
Registration opens on a first-come,
first-served basis starting
January 2, 2019, 9AM MST.
andersonranch.org
Signature
I wish to make a tax-deductible donation to support a workshop scholarship: $
WITH PAYMENT TO
110
CSV
In order to cancel a workshop or housing reservation and receive a refund, you must notify us at least
45 days before the start date of your workshop or housing reservation. If we are given the required 45
days’ notice, we will refund your deposit less a workshop cancellation fee ($150 per adult workshop;
$75 per children’s workshop) and a housing cancellation fee ($150 per week of housing reserved). No
refunds will be issued for cancellations made within 45 days of the start date of the workshop or housing
reservation. If we cancel a workshop, you have the option of transferring to another workshop, based on
availability, or we will refund your payments in full.
YES, I HAVE READ AND I UNDERSTAND THE CANCELLATION POLICY. (INITIAL):
970/923-3181 [email protected]