Anderson Ranch Arts Center Workshop Catalogs 2010-2014 | Page 74
Please print clearly. Use one form per student.
2010 Summer Workshop Application – This application must be completed by all students (adults and
children) either from this catalog or online. Adult and Children’s applications received by January 22, 2010 will be included in
the early application process; applications received after January 22, 2010 will be registered on a space-available basis.
Student Name_ _____________________________________________________________________________
Male / Female
Mailing Address_ _____________________________________________________________________________________________
City_ _____________________________________________________
State__________
Zip Code_ _____________________
_
Daytime Phone________________________
Evening Phone_ ______________________
Cell__________________________
Fax__________________________________
E-Mail_______________________________
Birth Date_____________________
If the student is a child please complete the following: Parent’s Name__________________________________________
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
1st Choice
2nd Choice
3rd Choice
1st Choice
2nd Choice
3rd Choice
1st Choice
2nd Choice
3rd Choice
Workshop #
Instructor
2nd Workshop
Workshop #
Instructor
3rd Workshop
Workshop #
Instructor
Housing
Meal Plan
CANCELLATION POLICY: In order to cancel a workshop or housing reservation and receive a refund, you must
notify us at least 30 days before the start date of your workshop or housing reservation. If we are given the required 30
days’ notice, we will refund your deposits less the registration fee ($55/Adult – $30/Child), a workshop cancellation
fee ($100 per adult workshop; $30 per children’s workshop),
and a housing cancellation fee ($50 per week of housing
reserved). No refunds will be issued for cancellations made
within 30 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.
_____ I have read and I understand the cancellation
policy. (Please initial)
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.
Please check one: o I wish to pay the Tuition Price.
(See page 3 for details)
o I wish to pay the Studio Support Cost.
Deposit* ($300 per workshop)__________________
Housing Deposit ($100 per week reserved)__________________
Registration Fee ($55/Adult – $30/Child)__________________
Total Deposit Due__________________
*If the cost of the class
is less than $300,
then full payment is due
as the deposit.
FOR HOUSING PURPOSES
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