Estudio Corazon Application

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1 Welcome

Special Diet
Diet Notes
Emergency Contact Info
Medical Issues	Enter "none" if you have no issues
Terms and Conditions	I accept the terms and conditions.Please read the terms and conditions
Please provide your website and/or social media handles
Which session(s) are you applying for?
Why would you like to be a part of Estudio Corazon? What do you think you would bring to the community?
What mediums will you be bringing?
Do you have any special needs?
Do you need Wifi in order to do your work?	Yes No
Do you have your own transportation? If not, how will you get to the ranch?
Do you have any physical limitations?
Are you interested in a scholarship for this oppertunity?	Yes No If so, please email a statement of financial need to heathert@ghostranch.org.
Please email work samples to Heathert@ghostranch.org	I will email work samples
Phone
Address
Address 2
City
State/Prov.
Zip/Postal
Country

Security check

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*