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2020 Teachers Workshop Application
August 10 - 14, 2020
One application per student only. Application instructions are available on CPYB.org
NEW students should complete this form in it's entirety.
RETURNING students (those who attended or applied for a 2017-2019 CPYB summer program), click on the red link above to login to your Family Portal BEFORE completing this form for your existing account to be recognized. Please contact CPYB at 717.601.2840 if you need assistance with your username and password. Again, one application per student only.
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Fee per Student:
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Room:
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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PROGRAM DATES & ACCOMMODATIONS
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1. I acknowledge the CPYB Teachers Workshop Orientation and Welcome Reception is Sunday, August 9 and workshop observations and sessions are August 10-14. I acknowledge CPYB does not provide housing accommodations during the Teachers Workshop.
I've read the above and agree.
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APPLICATION STATUS
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I acknowledge that my application will be held as pending until until a decision regarding the 2020 Teachers Workshop is made.
I've read the above and agree.
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FINANCIAL POLICY
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I understand cash is not accepted as a form of payment. All application fees and tuition must be via credit card provided with this application or in the Family Portal. CPYB accepts Visa, MasterCard and Discover. I understand that it is my responsibility to notify the financial institution due to limits on my account or fraud prevention. I understand that transactions declined for any reason incur a $35 declined transaction fee. ONLY if a letter from the financial institution stating the account was closed due to fraud is provided within 48 hours prior to the payment being processed will the $35 declined transaction fee be waived. Please visit CPYB.org to access the Refund Policy.
I've read the above and agree.
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PAYMENT AND REFUND POLICIES
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I have read, understand and agree to the Refund Policy as outlined at https://cpyb.org/payment-and-refund-policies. I understand there are no exceptions to the Refund Policy and all fees posted and paid through the submission of this application are non-refundable and non-transferable to any student or other CPYB program.
I've read the above and agree.
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PUBLICITY RELEASE
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I hereby authorize CPYB to record the student's picture and voice on photographs, films, live stream, and tapes, to edit these recordings at its discretion, and to incorporate these recordings into movie and sound films on tapes, radio, and television and online broadcast programs. I also give my permission for CPYB to use and license others to use these materials in any manner or media whatsoever. CPYB is permitted to use these materials for publicity, advertising and sales promotion and to use the student's name, likeness and voice and biographic or other information in connection with them. I acknowledge that no promises of compensation were made by CPYB for such use. This release is valid for the duration of the student's enrollment at CPYB.
I've read the above and agree.
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FINANCIALLY RESPONSIBLE PARTY
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My electronically typewritten signature below shall be legally binding and serve in the same capacity as my original penned signature.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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