If you prefer to fill out a PDF application, download it here.

Once the application is complete, email it to: info@pixelsandpolygons.org.

Once your application has been submitted, please proceed to Step 2 at the bottom of this page.

Enroll in a Summer Workshop

Please plan to fill out this application in one sitting. Once you hit “submit” the answers cannot be changed via the online form.

Student Information

2 Week Summer Workshop Application 2020

Full Name

Street Address

City

State

Zip Code

Email Address

What High School do you attend?

Age at time of workshop

This program is intended for students who are currently enrolled in high school. If you do not fit this criteria, please call to discuss your enrollment eligibility.

Have you previously attended classes or workshops at Pixels and Polygons?

Yes

If yes, when?

Parent Information

Parent/Guardian Full Name

Street Address

Write "same" if it is the same as the student's address.

State

Zip Code

Home Phone Number

Cell Phone Number

Emergency Contact Information

Emergency Contact Person

Please make sure this is an adult who can be reached during the day.

Phone Number

Phone Type

Home

Mobile/Cell

Relationship to Student

If you are human, leave this field blank.

Course fee is $1,500 for the entire session. You can pay with the button below or you can send a check to 73 Lexington Street, Auburndale, MA 02466.

Please contact us to inquire about scholarships and grants.

Your enrollment will not be complete (and your place saved) until payment has been received.

Pay Now