Application pdf 699 kB - Laguna College of Art + Design

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LAGUNA COLLEGE OF ART + DESIGN
SOJOURN IN
FLORENCE & ROME
May 28 – June 12, 2015
7 nights in Rome
• Round-trip Airfare
Air France: LAX to Rome & Florence to LAX
7 nights in Florence
• 8 Dinners and Daily Breakfasts
• 3 Star Hotels
Included: Rome and Florence Guided City Tours, Public Transportation Pass in Rome, Bus Tickets in Florence,
Private Motorcoach between cities and airport, Tips for Drivers/Guides/Servers, Post-Trip Exhibition, Airport and Hotel
Transfers when traveling with the group.
Rome Museums & Sites Included: Vatican Museum, St. Peters Basilica, Galleria Borghese, Galleria Nazionale d’Arte Moderna,
Pantheon, Piazza Navona, San Luigi dei Francesi, Capitoline Museums, Trevi Fountain, Campo di Fiori, Spanish Steps,
Arch of Constantine, St. Peter in Chains, Colosseum, Roman Forum, Palatine Hill, Doria Pamphill Gallery, Barberini Gallery, Santa
Maria Del Popolo, Piazza Navona, Santa Maria Della Victoria
Florence Museums & Sights Included: Uffizi Gallery, Piazzle Michelangelo, San Minato al Monte, La Specola,
St. Maria del Carmine-Brancacci Chapel,Bargello Museum, Academia Museum, Michelangelo’s House, Santa Croce, Pitti Palace,
Santa Maria Novella, Il Duomo di Firenze, Medici Chapel, Museo del’ Duomo, San Marco Museum, Ponte Vecchio
Artists: Michelangelo, Caravaggio, Raphael, Bernini, Titian, Botticelli, Leonardo da Vinci, Giotto, Masaccio, Rubens, Durer & so
many more…
3 Units INCLUDED – Art History, Studio or Liberal Arts Elective
$1,000 DEPOSIT and APPLICATION DUE:
December 1, 2014 (or until trip is filled)
Contact Betty Shelton for more information:
bshelton@lcad.edu
FLORENCE & ROME APPLICATION FORM:
LAGUNA COLLEGE OF ART + DESIGN
First / middle / last
Address number & street
City / state / zip / postal code / country
Phone number
Email address
Where do you want to apply your 3 LCAD units? (choose only one)
LCAD Major
US Citizen?
∫ Studio Elective
∫ Art History
Birthdate
∫ Yes
∫ No
∫ Liberal Arts Elective
∫ No Credit
Age
Please attach a copy of your Passport
Citizen of:
Passport #:
Validity Dates:
Exact name as it appears on your passport:
Health Insurance Provider:
Policy Number:
Do you have any health problems?
∫ No
∫ Yes
What Medications do you take?
Are you a vegetarian or have food allergies?
Emergency Contact: (Name / Address / Phone)
∫ Smoking
Roommate:
Single Occupancy?
∫ Yes
∫ No
Triple Occupancy?
∫ Yes
∫ Non-Smoking
∫ No
I ENCLOSE:
• 1ST Deposit ~ $1,000 due to Travel Tyme by - December 1, 2014
• 3RD Deposit ~ Balance due to Travel Tyme by - March 6, 2015*
• 2ND Deposit ~ $1,000 due to Travel Tyme by - January 30, 2015
• 4TH Deposit ~ Final balance due to LCAD by - May 1, 2015
Rome and Florence - Total Cost: $5,492.00 * (PLUS airline taxes & any extras)
Prices may vary depending on airfare and exchange rate. Payments are nonrefundable unless LCAD cancels.
Notes:
Return this application and your $1,000 deposit check.
Make your 1st three checks payable to: Travel Tyme,
Send To:
Laguna College of Art + Design
2222 Laguna Canyon Rd., Laguna Beach, CA 92651
Attention: Betty Shelton
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