SAVANNAH SUMMER ARTS INTENSIVE 2021
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Application Forms are included below
Savannah Summer Arts Intensive 2021 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
*
Weeks 1 & 2 June 7th-June 18 $575
Week 1 June 7th -June 11th $350
Week 2 June 14th - June 18th $350
An Invoice will be sent upon completion of the application
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
*
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 Summer Arts Intensive. I do hereby waive, release, absolve, indemnify, and agree to hold harmless Savannah Ballet Theater, the Savannah Ballet School, Savannah Artistic Endeavors LLC, the organizers, supervisors, participants and persons for any claim arising out of an injury/illness to the participant. I hereby hold harmless the
Savannah Ballet Theater, the Savannah Ballet School, Savannah Artistic Endeavors LLC
, 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.
By checking the box below I hereby agree to the terms stated above
*
Agree
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