Membership

Arts for All Membership Form

Please submit the form for Individual Membership. Household Memberships has a field for designated Membership Holder + fields to add Additional Names.

My Products*

Individual Membership($90.00 for each year)

Perks: Get 20 Free Studio Classes and avoid payment hassle for our studio classes; Invitation to members-only Arts for All Insiders on Facebook; Members are listed on our Arts for All website.

Household Membership($180.00 for each year)

Perks: Get 35 Free Studio Classes for a Household and avoid payment hassle for our studio classes; Invitation to members-only Arts for All Insiders on Facebook; Members are listed on our Arts for All website.

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Membership Holder Name*

First NameLast Name
Additional Household Name (Up to 5 for Household)

First NameLast Name
Additional Household Name (Up to 5 for Household)

First NameLast Name
Additional Household Name (Up to 5 for Household)

First NameLast Name
Additional Household Name (Up to 5 for Household)

First NameLast Name
Additional Household Name (Up to 5 for Household)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Emergency Number*

Area CodePhone Number
Email*
example@example.com
Known Allergies or Medical Conditions/Preferred Doctor
Arts for All of Northern Michigan Programs Registration and Consent Form

I understand that any personal care, behavior management, and medication needs must be managed by the participant independently or his/her parent/guardian and/or school and personal staff.

I recognize the risk of injury while participating in Arts for All Programs and agree to hold harmless, waive and release Arts for All of Northern Michigan and all its affiliates, managers, directors, volunteers, representatives, and assigns from any claims or causes of action for liability.

I hereby give my consent for administering any treatment deemed necessary by the doctors mentioned above, or if the designated preferred practitioners are unavailable, by another licensed physician. I further authorize the transfer of my child to the preferred hospital or any hospital reasonably accessible.
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Arts for All of Northern Michigan (A4A NMI) creates and updates promotional materials each year to help share our story about the many wonderful adaptive art experiences we provide to our community. These brochures, handouts, videos and invitations are important promotional tools for fundraising and fostering community awareness and support. A4A NMI is a local non-profit organization whose mission is to provide people with disabilities residing in the Grand Traverse region with interactive experiences, both artistic and cultural. Please visit our website for additional information at www.artsforallnmi.org. Programs are designed to be accessible for all abilities, but not limited to those with disabilities.

AUTHORIZATION OF PHOTOGRAPHY/VIDEOTAPING/WEBSITE PUBLICATION RELEASE

A4A NMI respectfully seeks your permission to photograph and videotape you and/or your student ONLY for the appropriate, approved purposes. Names will not be used. The images may be used for printed pieces, videos and online purposes - appropriately and tactfully - to represent the variety of adaptive art and cultural programs A4A NMI provides.
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Arts for All Membership Form