Online Registration for ArtSeed Fine Arts Intensive Program 2021

Live Video Conferencing & On Location Outdoors in the Park (by appointment):
ArtSeed’s Presidio Work Spaces, 1007 General Kennedy Avenue, Suites 206 & 210, S.F.

Fees are waived during this health crisis but donations are appreciated and can be made here. The full cost of the program per student/per week has been $400.00. Call Josefa at 415-656-9849 to chat about any challenges your family faces regarding art
supplies or video conferencing capacity.

For questions, contact josefa@artseed.org, 415-656-9849, or aber@artseed.org, 415-680-0567. Click here to check out our flyer and/or download a PDF version of the Summer Intensive application.

ArtSeed Summer Intensive 2021 Artist Registration

Check which weeks you will attend. *
Flexible age limits for remote participation.Week One: July 12 – 16, 2021 (weekdays 9am-5pm) for highly motivated youth (ages 9-19)Week Two: July 19 – 23, 2021 (weekdays 9am-5pm) for highly motivated children and youth (ages 6-19)Week Three: July 26 – 30, 2021 (weekdays 9am-5pm) for highly motivated children and youth (ages 6-19)
Participant’s Name: (First name and Last Name) *
Date of Birth (you can type mm/dd/yyyy) *
Level of Education / School *
How have you come to know about ArtSeed? *
Are you a student, teacher, volunteer, or other? *If "other," please describe.
Email
Phone Number *
Participant's Parent or Guardian Name (if applicable or type NA)
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Emergency Contact Name(s)
Email *
Phone Number *
Relationship to Participant *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Any special interests or needs?
Please indicate any allergies to food/materials

ArtSeed requires that each participant understand and accept its policies on the following issues. Please read the policies listed below and sign your name below to indicate your understanding and acceptance of these policies.

Discipline Policy *
A student’s disregard of the ArtSeed program rules will result in a temporary or permanent suspension from its program. If the student’s behavior is consistently unacceptable, ArtSeed reserves the right to dismiss the student from the program permanently. A student’s repeated disregard of ArtSeed’s collaboratively made and posted agreements with students may result in suspension from the program.I have read and understood this policy
Special Needs *
Any special behavioral, physical, emotional, psychological or medical needs of the student should be clearly discussed with Josefa Vaughan and her associates by the parent/guardian. Please explain your special needs clearly in a telephone call, an email or write it down on an attached page or on the back of this application.I have read and understood this policy.
Permission for Medical Treatment *
In the event of an emergency in which the parent/guardian cannot be contacted, emergency medical staff and the ArtSeed staff/volunteers may take appropriate action as needed for the student.I have read and understood this policy
Exposure to Sensitive Art Materials or Subject Matter *
Students participating in the ArtSeed Program may be exposed to sensitive materials (art supplies) or subject matters. ArtSeed encourages students and parents/guardians to let its instructors know when an art material or subject matter is uncomfortable for them. It is the responsibility of the student, and parent/guardian to communicate this to the ArtSeed instructors.I have read and understood this policy.
Photographs/Media/Artwork Waiver *
I give permission to ArtSeed to make and use photographs, videotapes, film, and audiotapes in which my son or daughter appears or the artwork of my son or daughter appears. ArtSeed may use these photographs, videotapes, film, and audiotapes in published materials, in other works of art, and on the Internet (World Wide Web) for artistic, educational, and publicity/promotional purposes for or related to the ArtSeed Program. ArtSeed may retain 50% of any sale of my son or daughter’s artwork, and may reproduce, sell and retain 50% of any sale of a reproduction of the artwork and/or writings he/she produces as a participant in the ArtSeed Program.I have read and understood this policy
General Release of Liability *
The undersigned agrees to release, waive, discharge, and hold harmless, ArtSeed, its directors, officers, employees, agents, and volunteers from any and all claims, suits, losses, or related causes of action for damages, including, but not limited to, such claims that may result from any injury, illness, accident, or any loss or damage to personal property or otherwise, during or arising in any way from participation. I acknowledge that this general release of liability of ArtSeed is binding on me personally, and on my heirs, personal representatives, successors, and assigns. The undersigned has read and voluntarily signs the ArtSeed participant/parent/guardian permission form. I understand and agree to the policies as stated above.I have read and understood this policy

I ACKNOWLEDGE THAT THIS GENERAL RELEASE OF LIABILITY OF ARTSEED IS BINDING ON ME PERSONALLY AND ON MY HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS, AND ASSIGNS. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE ARTSEED PARENT/GUARDIAN PERMISSION FORM

Name of Participant *
Signature of Participant *Entering your name and date on the fields above and below means that you understand and agree to the policies as stated above. This will be considered as a digital signature.
Date *
Parent/Guardian Signature (if applicable) *Entering your name (parent/guardian) and date on the fields above and below means that you understand and agree to the policies as stated above. This will be considered as a digital signature.
Date *

ArtSeed is a non-profit tax-exempt fine arts / youth leadership organization under Internal Revenue Code 501(c)(3) & Revenue and Tax Code 27301d. Any charitable contribution, made w/o expectation of material benefit, is tax deductible. EIN: 52-2368513.

Email: josefa@artseed.org, Website: www.artseed.org, Cell: 415-656-9849

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ArtSeed

An arts education nonprofit in San Francisco