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Summer Session Sign Up
alexis siroc
2025-03-10T19:46:14+00:00
Summer Session Sign Up
Summer Scene Painting Application
Fill out the form below to sign up for Summer Scene Painting
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About You
Your Name
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First
Last
Your Current Address
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Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
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Guam
Hawaii
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Maryland
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Northern Mariana Islands
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Rhode Island
South Carolina
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Tennessee
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Utah
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Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Your Permanent Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
How Can We Reach You?
We would love to chat with you. How can we get in touch?
Preferred Method of Contact
Email
Phone
Your Email Address
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Email Address
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Your Phone
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Best Time to Call You
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Select A Time
12:00 am
12:30 am
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11:30 pm
Your Education
School
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Degree
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Graduation Date
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Your Experience and Exposure
Include seminars, painters or designers you've worked with. Please attached resume if available.
Tell us about your experience
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References
Please name an academic, professional and personal reference. (3 total)
References: #1
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References: #2
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References: #3
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Other Particulars
What is your particular interest in this seminar?
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Who will be responsible for payment?
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Would you like to order a Scenic Brush Kit?
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Yes
No
Are you a smoker?
Yes
No
Are you allergic to cats or dogs?
Yes
No
If so, which?
Will you bring a car?
Yes
No
Do you have food allergies?
Yes
No
If so, which?
How did you hear about the program?
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Phone
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