Vita Institute for the Arts
Artists sharing ideas across and within their disciplines
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Italy 2020:The Character of Place: A Hands-On Professional Development Program in the Visual and Performing Arts
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Professional Development Programs and Workshops
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Online Registration Form for The Character of Place: Florence, Italy May 20 – June 19 2020
Vita Institute Institute for the Arts
Registration Form for The Character of Place
Florence May 20-June19, 2020
Street Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
East Timor (Timor Timur)
Papua New Guinea
Saint Kitts and Nevis
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
All fields must be completed for the registration form to be accepted.
PLEASE SELECT ONE OF THESE TWO OPTIONS.
I will be using the SRISA housing option
I will not be using the SRISA housing option. I wil arrange for my own accommodations during the four and a half weeks of the program
FOCUSED AREA OF STUDY FOR WHICH I AM APPLYING (PLEASE SELECT ONE)
The Character of Place: Theatre Though a Different Lens.
Drawing/Painting: The Character of Place Space, Color, and Light
Jewelry/Sculpture: The Character of Place in 3-Dimensions
I understand that I am not enrolled in the Program/Workshop until full payment has been received by Vita Institute for the Arts. All checks should be made out to: Vita Institute for the Arts and mailed to: Vita Institute for the Arts, P.O. Box 7006, Gunnison, Colorado 81230
Payment In Full
Payment by January 31, 2020
LIABILIY WAVER FORM: By accepting this agreement I release Vita Institute for the Arts (Vita), Vita Board members, Vita employees, Vita Independent Contractors from all liability, including financial responsibility for injuries including loss of life, regardless of whether injuries or death are caused by negligence. I also acknowledge that there are risks involved in taking classes abroad. These include but are not limited to personal injury, death, dismemberment and/or economic loss. I also affirm that I am participating voluntarily and that all risks have been made clear to me. I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this program. By checking the "accept" option I forfeit all right to bring a suit against Vita Institute for the Arts (Vita), Vita Board members, Vita employees, Vita Independent Contractors for any reason. I will also make every effort to obey safety precautions explained to me verbally. I will ask for clarification when needed. I have read and understand the information set forth above and give my consent by checking the "Accept" option.
PHOTOGRAPHY AND IMAGERY RELEASE FORM: I give Vita Institute for the Arts (Vita) permission to use my name, image, voice and/or appearance as such may be embodied in any pictures, photos, videos, digital images, and the like taken or made on behalf of Vita. I agree that Vita has ownership of such pictures, etc., and may use them for any purpose consistent with Vita's mission. These uses include, but are not limited to Vita marketing materials, social media, website, brochures, and any promotional or educational materials. I hereby release Vita and it's agents from any and all claims which may arise our of or are in any way connected with such use. I understand that should I wish to rescind permission to use the above identified items, I must provide an official request sent to firstname.lastname@example.org stating my desire for such pictures, etc., not to be used. I have read and understand the information set forth above and give my consent by checking the "Accept" option.
I have read, understand and agree to all of the previsions of this registration form.
Send all payments to: Vita Institute for the Arts, P.O. Box 7006, Gunnison, Colorado 81230
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Vita Institute for the Arts
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