California Institute of the Arts - Community Arts Partnership
Summer Program Participant Registration Form

1. Subject Area
  • Applicants must have experience in their art form and must be committed to consistent attendance during the course of the CAP Summer Arts Program.
  • Please check the subject area you are applying for. If you wish to apply for more than one subject area, please complete a separate form for each one.
  • If you choose to apply online you will still need to download and print the application and complete the release section. Please mail the completed release form to Caribbean Fragoza, CAP Office, 2470 McBean Parkway, Valencia, CA 91355 before the June 2nd deadline. If you have any questions please contact Caribben Fragoza at 661.253.7715.
Creative Writing What type of writing ? Poetry Fiction Non-Fiction Other
Dance What type of dance interests you ? Hip Hop Modern Jazz Ballroom Salsa Other
Film/Video What kind of films interest you ? Documentary Live Action Animation Other
Music What instrument(s) do you play ?
Visual Art What media do you usually work in ?
Where have you studied your arts discipline? Private Teacher School Program Other:
With whom did you study? Teacher Mentor Reference Other:
Teacher's Name: 
Teacher's Phone Number: 
Teacher's Email: 
How long have you studied your art form?
Why would you like to be part of this summer program?
Why are the arts important to you?

2. Student Information

First name:* 

Middle name: 

Last name: 

E-mail address: 

Address:

City: 

State: 

Zip Code: 

Phone: 

DOB: 

Age: 

Sex: 

Grade level to be completed in June 2008: 

3. Emergency Contact Information

Name of Emergency Contact: 

Relation: 

Email: 

Street Address: 

City: 

State: 

Zip: 

Home Phone: 

Work Phone: 

Cell Phone: 

4. School Information

Current School: 

School Phone: 

School Address: 

City: 

State: 

Zip: 

 
Asterisks indicate required fields.