Registration
THE IMMERSION
A SOUL ARTS SUMMER RETREAT
Catskill Mountains, 2020
July 13-25

Welcome and thank you for applying for Soul Arts Summer Immersion 2020. Our two week program will run from July 13th through July 25th with travel dates on the 12th and 24th.

At Soul Arts Academy we balance excellent technique training by New York City's most sought after teaching artists in a holistic and alternative setting. Be it in our NYC studios or in our serene, tranquil and nature infused Catskills summer retreat location. We grow artists from the inside out and your child's development - both in and out of the studio is our main priority.

Warmly,

Rosie Lanziero
Executive Director

If you have any questions, email or call us at (212) 254-0454


Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
How did you hear of our program?*
How many students are you enrolling? *
Is your child a current Soul Arts Student?*
Choose Age Group: 10-13yrs OR 13-16yrs *
My Child is a DAY CAMPER enrolled by April 15th: After paying $500.00 Deposit I agree to pay 3 installments of $525.33*
My child is DAY CAMPER enrolled after April 15th: After paying $500.00 Deposit I agree to pay 3 installments of $558.66*
My child is an OVERNIGHT CAMPER enrolled by April 15th: After paying $500.00 Deposit I agree to pay 3 installments of $991.00*
My child is an OVERNIGHT CAMPER enrolled after April 15th: After paying $500.00 Deposit I agree to pay 3 installments of $1024.33*
Current medications (over the counter or prescription):*
Pertinent present and past illnesses or conditions (please provide dates):*
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Additional Information:
 
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Student Photo
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Health Record Forms/Insurance Card
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Sunscreen
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Activities and Information
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Additional Activity Fees
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Agreement To Comply With All SAA Rules and Regulations
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General Release
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