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					                                             SUMMER
                                            STUDIO
                                            WORKSHOP
                                                    June 23-27, 2009
         To be considered for admission to The Art Institute of California - Los Angeles Summer Studio Workshop 2009, please
         complete this application form, have a parent or guardian sign, and return the application, parental consent form, and
         registration fee (made out to The Art Institute of California - Los Angeles) no later than June 1, 2009 to:


                                           The Art Institute of California - Los Angeles
                                                      Attn: Summer Studio
                                                          2900 31st Street
                                                Santa Monica, CA 90405-30355

Name
  Male         Female                    Graduation Date:             2009           2010      2011
Address

City                                             State                        Zip

Email Address

Home Phone (          )                                      Cell Phone (       )

High School

T-Shirt size (check one):      S     M       L      XL      XXL

(Please check one):         Housing $600         Commuter $150

This application will not be processed without a parent’s or gaurdian’s signature:

Your Signature
Parent’s/Guardian’s Signature


       Please reserve a space for me in housing at The Art Institute of California - Los Angeles
       Summer Studio Workshops 2009.


Workshop Selection (Check one):                                              Payment Information:
  Audio Production                                                           Check #
  Culinary Arts                                                              Money Order #
  Digital Filmmaking & Video Production
                                                                             Credit Card:       Visa   Master Card     American Express
  Game Arts & Design / Game Programming
                                                                             Credit Card #
  Graphic Design / Interior Design /
  Web Design & Interactive Media Design                                      Name on Card
  Media Arts & Animation /
  Visual Effects & Motion Graphics                                           Expiration Date

                                                                             Payment Amount (check one):         $150.00   $600.00

                                                                             Billing Address
For Internal Use Only                                                        City
ADA:
ID#:                                                                         State                         Zip

				
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posted:5/18/2012
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