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2013 SYAI Registration Form

Only one child per registration form and payment

Parent/Gaurdian Information

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email Address:

Participant Information

Child's Name:
Child's DOB:
Child's Age As Of June 1, 2013:
Last Grade Completed:
Last School Attended:

Emergency Contact Information

Name:
Cell Phone Number:

Medical, Allergy, Special Needs Information

Registration Type

Vanderbilt Community (Vanderbilt Students, Faculty and Staff, Alumni)
Nashville Community

Session Selection

For Ages 8 - 16

Session 3 June 17 - 21 Mixed Media Sculpture*B/WPhotography*Clay

Session 7 July 22 - 26 Jewelry*Film and Animation*Clay*Wood Sculpture

Session 8 July 29 - August 2 Paint/Drawing*B/W Photography*Fused Glass*Book Arts

Grand Total

Cancellation and Refund Policy

The Sarratt Youth Art Institute is committed to offering this summer program. The Institute will not cancel a summer session for any reason due to enrollment. Your registration guarantees a place for your child in this program. Therefore, the Sarratt Youth Art Institute does not offer refunds for its programs for any reason.

Privacy Statement

This is a secure, encrypted transmission. Under no circumstances will Vanderbilt University share the information gathered here or use it in any way aside from the stated purpose.