SAVANNAH SUMMER ARTS INTENSIVE 2020
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Application Forms are included below
Savannah Summer Arts Intensive 2019 Application
Student Demographics
*
Indicates required field
Name
*
First
Last
Please select your desired are of study
AGE
*
DATE OF BIRTH
*
GENDER
*
Desired Arts Experience
WEEK/WEEKS ATTENDING
*
Week 1 June 10th - 14th
Week 2 June 17th - June 21st
Full Intensive June 10th - June 21st
Parent Contact
PARENT/GUARDIAN NAME (If under 18 years old)
*
First
Last
ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
CONTACT PHONE NUMBER
*
PARENT/GUARDIAN EMAIL
*
Emergency Contact
EMERGENCY CONTACT NAME
*
First
Last
[object Object]
EMERGENCY CONTACT PHONE
*
ALLERGIES / MEDICINES / SPECIAL ACCOMODATIONS
*
Arts Experience
CURRENT ARTS EDUCATION SITE (SCHOOL/STUDIO)
*
PRIOR ARTS EXPERIENCE/ NOTABLE ACHIEVEMENTS
*
ADDITIONAL COMMENTS
*
Souvenir T-Shirt
If you would like to commemorate your experience with this custom designed tee shirt, please indicate your size and number of shirts desired. We would like to preorder the shirts in an effort to have them on hand as students arrive. Shirt will be available for purchase for $20
Size
*
S
M
L
XL
No Thanks, I do not want this item
Disclaimer
TO WHOM IT MAY CONCERN: This is to certify that I am a parent or legal guardian of a minor, [OR ADULT SELF] properly registered with the Savannah SummerArts Intensive. I do hereby waive, release, absolve, indemnify, and agree to hold harmless Savannah Arts Academy, the Savannah Chatham County Public System, the Savannah Arts Academy Dance Department, Savannah Artsistic Endeavors LLC, the organizers, supervisors, participants and persons for any claim arising out of an injury to the participant. I hereby hold harmless the Savannah Arts Academy Dance Department, Savannah Arts Academy, the Savannah Chatham County School System, and/or Mr. and Mrs. Jernigan during this summer camp. I give permission for photographs of myself or my student to be used for promotional purposes by Savannah Summer Arts Intensive, Savannah Arts Academy, and the Savannah Arts Academy Dance Department.
By checking the box below I hereby agree to the terms stated above
*
Agree
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