Summer Arts Exposure 2020 registration form
By filling out this form, you understand that:
1) your spot is not final until your payment is made, and should be made no later than July 1, 2019
2) your payment is non-refundable once the program commences
3) this program is 3 weeks & approximately 60 hours of professional (and fun!) mentoring and training for my child(ren)
4) at any time, if your child(ren) is/are bullying, destroying property, blatantly disrespecting others, running off without supervision or harming staff or participants, then you will no longer be allowed to partake in the program
Email address *
Participant's first AND last name (include preferred name in addition to) *
Your answer
How old? *
2nd participant's first AND last name (include preferred name in addition to)
Your answer
How old?
3rd participant's first AND last name (include preferred name in addition to)
Your answer
How old?
Guardian's phone number *
Your answer
Is there anything about your child(ren) you would like us to know? *
preferred names, ptsd triggers, sensitivities to light, texture, etc, tendencies to run away, literally everything that will help make SAE the most enjoyable and protected experience
Your answer
Emergency information *
MUST INCLUDE ALL: Contact name & phone number plus a secondary contact; hospital preference; allergies; current physical ailments or restrictions we need to know about
Your answer
Will you be requesting scholarship assistance? *
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