Workshop 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 the workshop artist is attending: * PARENT INFO * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Please list the name(s) of people allowed to pick up your child other than you * First Name Last Name Relationship to Child * Phone * (###) ### #### 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 food restrictions? If so, please share: * If your child does not have any food restrictions, please write "None" in the space below. Does your child have any sensory sensitivities? If so, please share: * If your child does not have any sensory sensitivities, please write none. 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: Thank you!
