Art Workshop Application at “THE SUMMIT HOUSE” in Mount Nebo State Park, by visitors center 16760 Hwy 155 West, Dardanelle, Arkansas 72834 More Artist information can be found at: www.artsummitnebo.com  then click on workshop or Gallery in the top link bar. email: tlcvaca@suddenlink.net

Cynthia Schanink  P.O. Box 8057, Hot Springs, AR 71910  phone: 501-922-1909 or 479-747-1200

I request to attend the Art Workshop at “The Summit House” on Mt. Nebo beginning    /  /    with arrival time the day before the workshop begins. Unless prior arrangements have been made, I will meet at 3 pm at the Summit House on Mt. Nebo the day before the workshop. I agree to pay the amount of $_________ for the three day workshop dates requested. This is payment in full for 3 nights share-a-room lodging and food provided and lessons in art at the “Summit House” workshop. This is Art Camp in a beautiful Mount Nebo State Park with a friend or two to share a room.

I agree that my reservation and attendance for the workshop dates above will be confirmed when the owners receive a reservation deposit of $75.00, this signed application and liability release. The balance will be due 30 days before arrival. Please print and send to the address printed below to reserve your place.

If weather conditions do not permit access to The Summit House such as an ice storm or snowfall etc. my deposit will be refunded to me in full.

I hereby release Daniel and Cynthia Schanink, “The Summit House” and any and all of their representatives of any liability for any accidents while on their property. My signature below acknowledges my acceptance of these terms.

X__________________________________ Date ____

Name___________________  Telephone# __________

Address ___________________City _____State ___Zip ___    

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