Enrollment Form We are pleased to offer this opportunity to all who have serious interest in enrolling in our programs. We assume that by completing and submitting this application you have the means by which to follow through on your intention to enroll. Programs: Please check the program you wish to attend Embrace The Journey, Travel Through Time: Mixed Media Artist Books With Melanie Matthews June 1 - 14 2019 Early Bird Tuition: (until November 30 2018) $2940 Full Tuition: $3090 Spouse/Non-student Tuition: $2595 Materials Fee: $100 Capture Greece in Living Color with Kat O'Connor Sept 1 -14 2019 Early Bird Tuition: (until December 28 2018) $3050 Full Student Tuition: $3200 Spouse/Non Student Tuition: $2595 Spouse/Non-students are excluded from studio classes but may enjoy all other facets of the program including field trips, archaeological sites and museum visits, cultural workshops and social activities. I would like to request SINGLE ACCOMMODATIONS in Athens and Skopelos for an additional fee of $550 Emergency Contact Information: Please list the names and contact information of relatives or close friends whom we can contact for you in case of emergency Contact Person 1: Contact Person 2: Please read and check: As a condition of enrolling at the Island Center for the Arts Inc., I agree to assume the risk of any personal injury that might occur while attending Island Center Programs, or which may occur in transit to and from Greece. In addition, I agree to assume all risk of loss, theft and damage to my personal property while attending Island Center Programs. I hereby certify that all the information on this form is true and accurate.