Pre College Art Lab Online Form

Parent/Guardian please read and fill out the following questions. You will want to include your student for the the  living center, student code of conduct and responsibility pledge.

We require all information filled out, authorizations/signatures, and acknowledgment fields checked.

By checking the authorization/signature boxes you are indicating that you are the student’s parent/guardian and that the information you’ve provided is accurate and true to the best of your knowledge.

Student and Guardian Information

Please indicate whether home, office or cell.

Please indicate whether home, office or cell.

Please indicate whether home, office or cell.

Medical Information
Health Care Permission and Insurance Information

The following allows Kansas City Art Institute to insure that any minor student receives medical aid when required in the judgment of officials of the school, and upon competent medical advice.

 Living Center staff have instructions to confiscate medications they have not been informed of. 

Medical Attention Permission
The undersigned, as parents/guardians of the above named student and a duly enrolled student at Kansas City Art Institute’s Pre-College ArtLab program, understand that during the program it may be necessary for the above named student to receive immediate medial attention/hospitalization without the benefit of specific consent of the undersigned in order to protect the health and welfare of the above named student and the other students in PCAL.


In view of the foregoing, it is agreed that when, in the opinion of Kansas City Art Institute, the above named student shall require medical attention/hospitalization that KCAI shall have the power, and is hereby authorized, to see that said student is hospitalized or receives medical care, or both. It is understood and agreed that KCAI shall not be responsible for the cost of such hospital care that the undersigned shall fully indemnify and hold harmless Kansas City Art Institute, its trustees, officers, agents, and employees, from any claim or liability resulting from its actions authorized hereunder.

By entering my name in this above field I agree to the terms listed above.

Emergency contact

Please indicate whether home, office or cell.

Please indicate whether home, office or cell.

Insurance Information
If yes, fill out information below. Please have student bring health insurance card, or a copy of the front and back of the insurance card when they attend ArtLab.



If NO, KCAI can provide health insurance during the three weeks they are on campus for $14.75. Your child must be covered while staying with us. Please contact Ruth at 816-802-3505 to make arrangements.

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Spring 2015 classes

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