Expressive Arts Summer Institute Registration

Your registration is not complete until your payment for the institute is received. Please contact asuexa@appstate.edu with any questions.

Name:

Email:

Phone:

Please list the best number to reach you.

Dietary Needs/Restrictions:

Please check above if you are vegetarian, vegan, gluten-free, pescatarian, and/or have other dietary needs.

Other:

Is you selected other, please list your need/restriction in this field.

Do you have any physical movement limitations requiring room assignment on first floor?

Yes

No

Roommate Preference:

Roommate preference must be requested by both participants. Please notify the person you are requesting so they know that they need to request you, too.

Will you be donating a piece or pieces to the Orchesis Silent Auction?

Yes

No

Will you be receiving academic credit?

Yes

No

Will you be receiving other credits?

CEUs

REACE

REAT

Please check the boxes above if you will be receiving CEU, REACE, and/or REAT credits at this Institute.

Will you be making a donation to the Expressive Arts endowment fund?

Yes

No

Expressive Arts Therapy

Expressive Arts Summer Institute Registration