ENROLLMENT and AUTHORIZATION form for Saturday Art at Miami University
***This form should only be completed once you've completed the Registration form (https://forms.gle/kNNafRgv1snrTq916). Both forms must be completed before attending Saturday Art.

Saturday Art program details can be found on our website: miamisaturdayart.weebly.com.
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Email *
Student Last Name(s) *
Student First Name(s) *
Student(s) Grade (if more than one student, list name and grade together) *
What is the best way to contact you? *
Email (Parent/Guardian/Adult Student) *
Cell Phone (Parent/Guardian/Adult Student) *
Publicity Authorization (Check one) *
"I give Miami University's College of Creative Arts (CCA), Oxford Campus, permission to use any and all photographs and/or film taken of students during Saturday Art, to be placed in local newspapers, at festivals, and other Miami University sponsored events for visual viewing, and in future CCA publications promoting Saturday Art and beyond, as well as on their website and MU Art Department social media. I understand that Miami's CCA office will use professionalism and good taste when taking and displaying the photographs."
Allergies & Special Needs *
Please let us know if the student(s) have any allergies, experiences side effects of medicine, or has any special needs we should be aware of. Again, if you have more than one student, list their allergies/special needs alongside their name.
Emergency Care Authorization (Check one) *
At times, it may be necessary to have access to first aid and/or over-the-counter medications. Please check one below.
Emergency Contact *
Please list the NAME, PHONE NUMBER, and RELATIONSHIP of your student(s) emergency contact below.
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