Online Application for ArtSeed Fine Arts Intensive Programs 2019

ARTSEEDÂ FINE ARTS SPRING INTENSIVE

For students, ages 6 to 19 years, or for younger students after an interview. Individual portfolio and collaborative project-building workshop with teaching artists, guest presenters, and adult volunteers culminating in a fall exhibition.Â Weekdays, March 25 â€“ 29, 2019, 9 a.m. â€“ 5 p.m.Â Â Locations: 1) ArtSeed gallery and offices, Suites 206 & 210, 1007 General Kennedy Ave., San Francisco, CA 94129. 2) 4301 Geary Blvd at 7th Avenue, San Francisco, CA 94118.

ARTSEEDÂ FINE ARTS SUMMER INTENSIVE

Students will have up to three full weeks of learning adventures in the arts! For ages 6-19 years, though younger participants may apply for the second week if maturity and desire are reflected in a letter or a phone interview. Week One: June 10â€“14, 2019, 9amâ€“5pm for ages 9 to 19. Week Two: June 17â€“21, 2019, 9amâ€“5pm forÂ ages 6Â to 19. Week Three:Â July 8â€“12, 2019, 9amâ€“5pm forÂ ages 6Â to 19.Â Locations:Â 1) ArtSeed gallery and offices, Suites 206 & 210, 1007 General Kennedy Ave., San Francisco, CA 94129. 2) 4301 Geary Blvd at 7th Avenue, San Francisco, CA 94118

This online form should be filled out and sent in by parents or guardians (reservations are on a first come first serve basis). We prefer to receive it at least one week before the first day of ArtSeedâ€™s Summer Intensive. Sliding scale scholarships to cover a portion of the weekly cost are available to eligible families. For questions contact josefa@artseed.org, 415-656-9849, and gino@artseed.org, 612-978-3511.Â Â Click here to check out our flyer and/or download a PDF version of the Summer Intensive application (English and Spanish versions).Â

I. ArtSeed Fine Arts Intensive Online Application Form

Name (First name and Last Name) *
Date of Birth (you can type mm/dd/yyyy) *
Which weeks are you interested in? *
Spring Break, March 25 to 29, 2019, for ages 6 to 19Summer Week 1, June 10 to 14, 2019, for ages 9 to 19Summer Week 2, June 17 to 21, 2019, for ages 6 to 19Summer Week 3, July 8 to 12, 2019, for ages 6 to 19
How have you come to know ArtSeed? *
Parent/Guardian's name *
Relation to student *
Email *
Home Phone *
work/mobile phone *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Name of School

In case of emergency please list below the person to contact and phone number. (You may enter second parent/guardian)

Name *
Relation to student *
Email *
Phone *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Preferred Medical Emergency Center *
Allergies to food or materials

Full cost of the program per student/per week is $400.00 (includes snacks, art supplies, & field trips) If the full cost of the program would be a financial hardship to your family, you may be eligible to apply for a full/partial scholarship.

If interested in the scholarship, what amount, if any, would you be able to contribute to support your youngsterâ€™s participation in the program?
$350$200$100other. You may also call Josefa 415-656-9849 or Gino 612-978-3511 to chat or arrange a visit.
please put other amount

III. ArtSeed Policies

The ArtSeed Program requires that each studentâ€™s parents/guardians understand and accept its policies on the following issues. Please read the policies listed below & sign your name below to indicate your understanding & acceptance of these policies

Discipline Policy *
A studentâ€™s disregard of the ArtSeed program rules will result in a temporary or permanent suspension from its program. If the studentâ€™s behavior is consistently unacceptable, ArtSeed reserves the right to dismiss the student from the program permanently. A studentâ€™s repeated disregard of ArtSeedâ€™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 daughterâ€™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 or illness, accident or any loss or damage to personal property or otherwise, during or arising in any way from participation in the ArtSeed program.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

Entering your name (parent/guardian) and date on the fields 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.

Thank you for applying. You will receive an email shortly after submission. Contact: gino@artseed.org, 612-978-3511 or josefa@artseed.org, 415-656-9849, Fax: 415-751-4442, www.artseed.org

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