Enrollment Form We are pleased to offer this opportunity to all who have a 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 Capture Greece in Living Color with Kat O’Connor June 1 - 14 2023 Student Tuition: $4120 Spouse/Non-student Tuition: $3550 Mixed Media Travel Journal with Merill Comeau & Jodi Colella – Scenes, Senses and Stories of Greece September 1 - 14 2023 Student Tuition: $4120 Spouse/Non-Student Tuition: $3550 Additional Accommodation Requests: I would like to request single accommodations: $4560 I would like to request double 2 bedroom apartment accommodations in Skopelos: $4385 I would like to request Deluxe single accommodations in Skopelos: $4740 I would like to request double Deluxe double 1bedroom apartment accommodations in Skopelos: $4340 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.