Anderson Ranch Arts Center Workshop Catalogs 2000-2009 | Page 47
Please print clearly. Use one form per student.
2008 SUMMER WORKSHOP APPLICATION – Adult applications received by January 22, 2008 and children’s applications by February 29, 2008 will be included in
the early application process; applications received after January 22, 2008 and February 29, 2008 will be registered on a space-available basis.
STUDENT NAME______________________________________________________
DAYTIME PHONE____________________
EVENING PHONE____________________
MAILING ADDRESS____________________________________________________ CELL_____________________________ E-MAIL___________________________
CITY_______________________ STATE_______
ZIP CODE_______________ FAX______________________________
IF THE STUDENT IS A CHILD PLEASE COMPLETE THE FOLLOWING: PARENT’S NAME____________________________________
BIRTH DATE________________________
MALE / FEMALE
Please indicate your first, second and third choices for each workshop you would like to enroll in. Please attach another sheet for additional workshop choices if you would like to
enroll in more than three classes. Also indicate if you are hoping to attend with friends or a family member. We will do our best but cannot guarantee your request.
1st Workshop
1st Choice
2nd Choice
3rd Choice
Deposits 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. We will automatically charge your balance to the credit card on file unless you have made other arrangements prior to the due date.
1st Choice
2nd Choice
3rd Choice
Workshop #
Instructor
2nd Workshop
Deposit* ($250 per workshop)__________________
Workshop #
Housing Deposit ($100 per week reserved)__________________
Instructor
Registration Fee ($45/Adult – $30/Child)__________________
3rd Workshop
*If the cost of the class
is less than $250,
then full payment is due
as the deposit.
3rd Choice
Workshop #
Instructor
1st Choice
2nd Choice
3rd Choice
Housing
Total Deposit Due__________________
o Check, Money Order or Cashiers Check enclosed
2nd Choice
Payment Method:
1st Choice
o Visa, Mastercard or American Express
Card Number:______________________________________ Exp.__________________
Cardholder’s Name_________________________ Signature_______________________
Meal Plan
FOR HOUSING PURPOSES
Please describe physical limitations (walking, stairs, etc.) and/or any roommate or
guest requests:
Mail this form with payment to Anderson Ranch Arts Center, PO Box 5598 (USPS),
5263 Owl Creek Rd. (UPS, FedEx, etc.), Snowmass Village, CO 81615 – or fax this form
to 970/923-3871
CANCELLATION POLICY: In order to cancel a workshop or housing reservation and receive a refund,
you must notify us at least 30 da