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Class Scholarship Application Form

Scholarship Applicant Information

Please fill out this section of the application form as it applies to the student interested in receiving a scholarship. If you are a parent/guardian who is filling out the form for your child, or if you are filling out the form on behalf of another interested student, there is an additional section where you will be able share your information.
Name(Required)

Information for Person Submitting Scholarship Application

If you are submitting this application as the parent/guardian of the interested student or on behalf of an interested student, please share you information in this section. If you are applying for a scholarship as the parent/guardian of a minor child, this section is required.
Name
Would you like to sign up for our weekly digital newsletter, Art Talks?(Required)
How did you find out about this class?(Required)

Waivers

Check the boxes below to agree to the terms and conditions of this scholarship application and the usage of a scholarship, if this application is approved.
Authorization and Photo Release(Required)
Note: If applying for a minor child, this authorization and photo release will apply to them, as well as to you. I hereby authorize the Annette Howell Turner Center for the Arts (located at 527 N. Patterson Street in Valdosta, GA.) to publish photographs taken of myself and/or the minor child listed above, and our names and likenesses, for use in The Turner Center for the Arts print, online and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless The Turner for the Arts from any reasonable expectation of privacy or confidentiality for myself and/or for the minor child listed above associated with the images specified above. If applying for a minor child, I attest that I am the parent or legal guardian of the child listed above and that I have full authority to consent and authorize The Turner Center for the Arts to use his/her likeness and name. I further acknowledge that participation is voluntary and that neither I nor the minor child will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever for myself and/or minor child. I hereby release The Turner Center for the Arts, its contractors, its employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by me or any third party in connection with my participation and/or the participation of the minor child listed above.
Waiver of Liability and Indemnity Agreement(Required)
Note: If applying for a minor child, this waiver and agreement will apply to them, as well as to you. The party signing this Agreement is either a student applying for a scholarship, or the parent/guardian of a student who is doing so, as a request to be applied to the aforementioned class on Annette Howell Turner Center for the Arts campus located at 527 North Patterson Street in Valdosta, GA., along with the appurtenant walkways, buildings and parking lots serving same (herein the Center or premises). Additionally, the undersigned acknowledges that personal injury and/or property damage may occur to the undersigned or to those other persons utilizing the premises for the above class and barring the intentional act or gross negligence on the part of The Annette Howell Turner Center for the Arts or its authorized agents, the undersigned does knowingly and voluntarily release and hold harmless the Center, its employees, agents or other parties connected with the Center for any injury to the student or damage to their property resulting from their presence at the Center. The undersigned will not only release and hold harmless the Center for any such loss or damage to the undersigned or student, but will, in addition, agree to forever indemnify and hold harmless the Center for any such claim resulting from personal injury or property damage to any of the undersigned or student invitees (no matter how such personal injury or property damage may occur), including attorney fees or other costs incurred by the Center to defend or negotiate settlement of any such claim. This waiver, release of liability, hold harmless and agreement to indemnify is executed in consideration of the Center allowing the student to attend class, and is made a part of any agreement between the Center and the undersigned parent or guardian of a participating student.
The full name printed here will be taken as a signature for the above agreements and serve as additional confirmation that you have read and agree to the policies listed above.