PENSACOLA MUSEUM OF ART
  • ABOUT
    • HISTORY
    • BOARD OF TRUSTEES
    • STAFF PROFILES
    • MEDIA PARTNERS
  • VISIT
  • EXHIBITIONS
    • CALL FOR ARTISTS
  • LEARN
  • CALENDAR
  • COLLECTIONS
    • RECENT ACQUISITIONS
    • DONATION OF ART
  • RENTALS
  • GET INVOLVED
    • DOCENT PROGRAM
    • PMA GUILD

    Art Academy for Autism  for Adults Application 

    Medical Information 

    Social Information 

    These records will be kept confidential. The information needed here is to create the best program possible for your student. Applying does not guarantee entry to the program. Classes will be assembled based on each student's age and ability. This program is specifically designed and only available for adults with autism or other related disabilities. 

    Informed Consent and Acknowledgement

    In case of accident or serious illness, I request that I/we be contacted. I hereby give permission for emergency medical treatment, which may include, but may not be limited to, initial diagnostic x-rays and other such procedures as the physician may deem necessary for the preservation of health. 

    Periodically, the PMA takes photographs of educational classes for marketing, promotional materials, or other Museum publications. 

    By selecting the "Submit" button, I am signing the above informed consent and acknowledgment agreement electronically. I agree that my electronic signature is the legal equivalent of my manual signature on this agreement. By selecting "Submit"  I consent to be legally bound by this agreement's terms and conditions. I also understand that registration does not guarantee entry to this class. 
Submit
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  • ABOUT
    • HISTORY
    • BOARD OF TRUSTEES
    • STAFF PROFILES
    • MEDIA PARTNERS
  • VISIT
  • EXHIBITIONS
    • CALL FOR ARTISTS
  • LEARN
  • CALENDAR
  • COLLECTIONS
    • RECENT ACQUISITIONS
    • DONATION OF ART
  • RENTALS
  • GET INVOLVED
    • DOCENT PROGRAM
    • PMA GUILD
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