Business of Art Registration Form
This is the Business of Art REGISTRATION form. Please remember that if you do not fill this form out, you will NOT BE REGISTERED and will have to pay $400.00 to attend the Business of Art.

By filling this form out, you are only paying $50.00 rather than the full $400.00 due to a generous grant from Dixie Technical College and its Custom Fit Training Program. After submitting this form, please click on the "PAY NOW" button on the Business of Art home page at https://www.searsart.com/home-1 so you can complete the registration process.

This agreement is between Dixie Technical College and its Custom Fit Training Program, to coordinate training for “Employer” as provided herein. This agreement is contingent on participating Employee(s) providing the last 4 digits of their social security number, for State reporting purposes. The “Employer” will contribute to the training cost as agreed, and will provide any additional information as required by Custom Fit staff, which may include training attendance records and evaluations.
Email address *
Business Name *
Your answer
Mailing Address (Street) *
Your answer
Mailing Address (City, State, ZIP Code) *
Your answer
Contact Name *
Your answer
Your position in company (owner, employee, etc.) *
Your answer
Business Email *
Your answer
Phone Number *
Your answer
Professional Page - Facebook, Instagram, or Website - (provide link to at least one i.e. https://www.facebook.com/yourname) *
Your answer
Federal Tax ID Number (This is not your SSN, it was provided to you when you registered your business name with the IRS)
Your answer
Company Owners and/or Employees Receiving Training
Please fill out the information below about Owners or Employees receiving training.
Name *
Your answer
Last four of SSN *
Your answer
TRAINING NEEDS AND/OR REQUESTS
2019 Business of Art Training
November 15-16, 2019
Purpose of Training *
Required
Please Read Through Completely
I hereby grant Dixie State University permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of Dixie State University and will not be returned.

I hereby irrevocably authorize Dixie State University to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Dixie State University from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.
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