Send
Section 1 of 1
HS Visual Art Workshop July 21 (1:00-3:00)
Please fill out the following form
Email
This form is collecting emails.Change settings
haleycoleman2010@icloud.com
Loading...
Loading…
Untitled Title
Loading...
Loading…
Untitled Title
Loading...
Loading…
Untitled Title
Loading...
Loading…
Haley
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Coleman
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Bellefontaine 
Question Type
Loading image…
1.
Bellefontaine
2.
Benjamin Logan
3.
Calvary Christian
4.
Indian Lake
5.
Riverside
6.
Home School
7.
Other
8.
Add option
Answer key
(0 points)
Loading...
Loading…
10
Question Type
Loading image…
1.
9
2.
10
3.
11
4.
12
5.
Add option
Answer key
(0 points)
Loading...
Loading…
600 Charles Ave
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
28colema@bcs-k12.org
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Lisa Coleman
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/Guardian Name 2
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
937-844-2488
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
colemanlisa000@gmail.com
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Olivia Welch
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
419-733-3143
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Is there anything additional you would like to share with our staff about this student's needs?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
I authorize LoCo Art to utilize photos/videos of workshop activities and my student on their various outreach platforms and media publications.
Question Type
Loading image…
1.
Yes👍
2.
No
3.
Add option
Answer key
(0 points)
Loading...
Loading…
I have filled out the Emergency Medical Authorization Form located on the LoCo Art Website and will bring it to the first day of this workshop event. (If you have already completed a form for the 2025, no need to complete another form) I am aware that my student will not be able to participate without an Emergency Medical Form on file. 
Question Type
Loading image…
1.
Yes👍
2.
Add option
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
haleycoleman2010@icloud.com
Untitled Title
Untitled Title
Untitled Title
Haley
Copy chart
No responses yet for this question.
Coleman
Copy chart
No responses yet for this question.
Bellefontaine 
Copy chart
No responses yet for this question.
10
Copy chart
No responses yet for this question.
600 Charles Ave
Copy chart
No responses yet for this question.
28colema@bcs-k12.org
Copy chart
No responses yet for this question.
Lisa Coleman
Copy chart
No responses yet for this question.
Parent/Guardian Name 2
Copy chart
No responses yet for this question.
937-844-2488
Copy chart
No responses yet for this question.
colemanlisa000@gmail.com
Copy chart
No responses yet for this question.
Olivia Welch
Copy chart
No responses yet for this question.
419-733-3143
Copy chart
No responses yet for this question.
Is there anything additional you would like to share with our staff about this student's needs?
No responses yet for this question.
I authorize LoCo Art to utilize photos/videos of workshop activities and my student on their various outreach platforms and media publications.
Copy chart
No responses yet for this question.
I have filled out the Emergency Medical Authorization Form located on the LoCo Art Website and will bring it to the first day of this workshop event. (If you have already completed a form for the 2025, no need to complete another form) I am aware that my student will not be able to participate without an Emergency Medical Form on file. 
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.