Is there anything additional you would like to share with our staff about this student's needs?
*
Question
Is there anything additional you would like to share with our staff about this student's needs?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
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
I authorize LoCo Art to utilize photos/videos of workshop activities and my student on their various outreach platforms and media publications.
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
1.
Yes👍
2.
No
1.
Other…
3.
Add option
or
add "Other"
…
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
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
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
1.
Yes👍
1.
Other…
2.
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
This form is approaching the response limit. Once surpassed, the summary of responses will no longer be displayed. Learn more
Close
This form has exceeded 50,000 responses and the summary of responses can no longer be displayed. You can still download responses as a .csv file. Learn more
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.
Waiting for responses
of
19
This form is approaching the response limit. Once surpassed, the question view will no longer be displayed. Learn more
Close
of
1
Loading...
Loading response…
This form is approaching the response limit. Once surpassed, the individual view will no longer be displayed. Learn more
Close
Grades from previous versions of this form are hidden. Learn more
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Respondents will manually enter their email response
Do not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more