Anderson Ranch arts center
Please print clearly . Use one form per student .
Anderson Ranch arts center
2017 summer workshop application
This application must be completed by all students ( adults and children ) either from this catalog or online . Requests accepted on a first-come , first-served basis starting January 3 , 2017 , 9:00 am MST .
STUDENT NAME ____________________________________________________________________________
MALE / FEMALE MAILING ADDRESS ____________________________________________________________________________________________ CITY _____________________________________________________ STATE ________ ZIP CODE _____________________ CELL ___________________________________ DAYTIME PHONE _____________________
EVENING PHONE ______________ E-MAIL ________________________________________________ FAX ________________________________ BIRTH DATE __________________ IF THE STUDENT IS A CHILD PLEASE COMPLETE THE FOLLOWING : PARENT ’ S NAME ________________________________________
Please only list as many workshops as you hope to take ; i . e ., it is not necessary to provide backup choices . If a workshop is full , we will |
place your name on the waitlist and will contact you to see if there are other workshops that interest you . Please attach another sheet for |
additional workshops if you would like to enroll in more than four classes . |
CANCELLATION POLICY : In order to cancel a workshop or |
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1st Workshop Workshop #
Instructor
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3rd Workshop Workshop #
Instructor
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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 deposit less a workshop cancellation fee |
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2nd Workshop Workshop #
Instructor
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4th Workshop Workshop #
Instructor
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($ 150 per adult workshop ; $ 75 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
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1st Choice |
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2nd Choice |
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3rd Choice |
to another workshop , based on availability , or we will refund your payments in full . |
Housing Meal Plan |
______ I have read and I understand the cancellation policy . ( Please initial ) |
Do you have any limitations that require an accommodation ?
❏ N / A
❏ Yes : _________________________________________________________ _______________________________________________________________
Anderson Ranch tries to make accommodations for limitations of its students and requires that each student inform Anderson Ranch of any limitation needing accommodation as part of this registration . If no limitations are disclosed as part of this registration form , Anderson Ranch may assume that you need no accommodations .
PAYMENT : A deposit of $ 500 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 and will automatically be charged to the credit card on file unless you make other arrangements prior to the due date . The exception is if the total cost of the workshop ( tuition , studio fee and registration fee ) is less than $ 500 , which is the case for weekend photography workshops and children ’ s classes – then payment in full is due at the time of registration .
Please check one : ❏ I wish to pay the Tuition Price . ❏ I wish to pay the Tuition + Studio Support Donation Payment method :
❏ Check , Money Order or Cashiers Check enclosed
❏ Visa , MasterCard , American Express , or Discover
Card Number : ___________________________________________________________ Exp . ___________ CSV ____________ Cardholder ’ s Name ______________________________________ Signature __________________________________________ I wish to make a tax-deductible donation of $ ___________________________ to support a workshop scholarship .
FOR HOUSING PURPOSES Please list any roommate or guest requests : _________________________________________________________ __________________________________________________________________________________________________________
Mail this form with payment to Anderson Ranch Arts Center , PO Box 5598 ( USPS ), 5263 Owl Creek Rd . ( UPS , FedEx , etc .), Snowmass Village , CO 81615 – or fax this form to 970 / 923-3871 Registration opens on a first-come , first-served basis starting January 3 , 2017 , 9:00 am MST .
112 andersonranch . org 970 / 923-3181 info @ andersonranch . org