New Student Form STUDENT INFO * (Please enter the student's name here) First Name Last Name Student's Date of Birth * MM DD YYYY Please list the name of class or workshop attending: * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country PARENT INFO * First Name Last Name Phone * (###) ### #### Email * ATTENDING CAREGIVER INFO *FOR PARTY ANIMAL - MESSY TODDLER PLAYGROUPS ONLY First Name Last Name Relationship to Child * Date of Birth MM DD YYYY EMERGENCY CONTACT * First Name Last Name Phone (###) ### #### Relationship to Child * Has your child taken any art classes before? If so, which one(s)? What are three strengths you'd use to describe your child? Does your child have any allergies? If so, please share: * If your child does not have any allergies, please write "None" in the space below. Does your child have any sensory sensitivities? If so, please share * What would you like your child to gain from being a part of class? If you have any questions or concerns about your child that you’d like to bring to our attention, please reach out directly or share here: FOR CREATIVE CLUB ONLY: Is your child potty trained? Please share any information that would be supportive to them while they are in class. FOR CREATIVE CLUB ONLY: Who will be dropping off and picking up your child from class? Thank you!
