Summer Arts Exposure 2021 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, 2021
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 your 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

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Email *
Participant's first AND last name (include preferred name in addition to) *
How old? *
2nd participant's first AND last name (include preferred name in addition to)
How old?
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3rd participant's first AND last name (include preferred name in addition to)
How old?
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Guardian's phone number *
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
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
How did you find out about Summer Arts Exposure?
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Is there someone you'd like to get "props" for you registering?
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