Skip survey header

2022 Animation Gets Real Tampa Registration

2022 In-Person Animation Gets Real Online Registration

Please note, this is considered a pre-registration application. We will review your student's application and video submission on a first come, first serve basis. Thank you!
1. Name and Address *This question is required.
This question requires a valid email address.
3. What is the child's Race/Ethnicity? Check all that apply (for grant reporting purposes) *This question is required.
4. Would you like to share your student's disability? *This question is required.
5. Can your student navigate a computer independently? *This question is required.
6. Has the student used a computer animation program before? *This question is required.
7. Can your student navigate an iPad independently? *This question is required.
8. Will your student be participating with a personal assistant? *This question is required.
9. Where did you hear about Animation Gets Real?  Please select all that apply. *This question is required.
10. Camp t-shirts will be $20.00 and must be ordered ahead of time in order to ensure availability. If you would like to order one, please select your t-shirt size and have a credit card ready to process payment. Deadline to order shirt is Monday, May 30th at 12pm. *This question is required.
11. Which of the following class options would you like your student to attend? *This question is required.
If you are choosing the second option above, please indicate which class you are selecting.
12. This year we asking students to submit a 30 second to 2 minute video describing why they wish to join Animation Gets Real Camp. You can submit this via-email directly to karlaa@usf.edu or send her a Google Drive link where she can download the file. *This question is required.
13. This program is provided free of charge thanks to the generosity of our donors and sponsors. You can help Arts4All Florida continue to provide community art classes by making a donation. Thank you for supporting us and our Teaching Artists! 
THANK YOU FOR YOUR DONATION. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. OUR REGISTRATION NUMBER IS CH8088.
14. Release of liability, waiver of claims, assumption of risks, indemnity agreement, and media release
Please check the appropriate box below indicating you agree or do not agree with the statement. Please note- your child will NOT be able to participate in the camp if you check "I do not agree" to items 1 or 2. *This question is required.
1) Release of liability- 
I agree to the following release of liability as a participant or parent/guardian of a participant in an in-person and/or online program with Arts4All Florida and CARD (Center for Autism and Related Disabilities). In the case of any injury to registrant associated with an activity involving Arts4All Florida and CARD, the registrant shall indemnify and hold harmless, and hereby release, discharge, and acquit Arts4All Florida and CARD (and their respective directors, officers, members, employees, agents, teaching artists, and independent contractors) from and against any and all claims, damages and liabilities resulting from or associated with said injury or the treatment of said injury. By checking "I agree" and signing this in the area below release, I acknowledge I have read and fully understand this agreement and intend my signature to be an unconditional and complete release of all liability. I also acknowledge that my electronic signature has the same force and effect as an original signature. *This question is required.
3) Media release-
I hereby give consent to Arts4All Florida to use my/my child's first name, photo, voice, or other likeness that is included in virtual programming as well as artwork created in the program for future public awareness including print media, online news distribution, Arts4All Florida website, television and radio opportunities, video, promotional materials and other similar mediums (the "Production"). Such use of the Production is permitted throughout the world or exhibition purposes by Arts4All Florida in whatever manner it may desire, and may be copied, copyrighted, edited and distributed by Arts4All Florida in any medium in perpetuity without any compensation to me.  Furthermore, I consent that any such Production shall be the exclusive property of Arts4All Florida and Arts4All Florida shall have the right to use, sell, publish, print, display, distribute, duplicate, reproduce, reprint, create derivative works, and make other uses of such Production as Arts4All Florida may desire, free and clear of any claims whatsoever on my part. 
  *This question is required.
I/ (my son/daughter has permission) will/to participate in Animation Gets Real.  I hereby give my consent to have a doctor of medicine or dentistry provide me (my son/daughter) with emergency medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.
 
15. By signing this release, I acknowledge I have read and fully understand the policies above and have selected "I agree" or "I do not agree" for each one. I acknowledge that my electronic signature has the same force and effect as an original signature. *This question is required.
Clear
Signature of