P.L.A.C.E. Spring Workshops
* Required
Email address
*
Your email
Name
*
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade
*
Your answer
Allergies
*
Your answer
Special Considerations?
Your answer
Parent/ Guardian
*
Your answer
Employed By
*
Your answer
Home Address
*
Your answer
Town
*
Your answer
Zip Code
*
Your answer
Phone
*
Your answer
Emergency Contact Name & Phone
*
Your answer
Classes
*
Mondays: Art Palooza
Tuesdays: Mix it Up
Wednesdays: Basic and Advanced Drawing
Wednesdays: Open Art Studio for Teens and Adults
Thursdays: Teen Open Art Studio-High School Kids Only
Required
Time
*
4:00 p.m. - 5:30 p.m.
4:30 p.m. - 6:00 p.m.
1:00 p.m. - 2:30 p.m.
Required
New Student
*
Yes
No
School
*
Your answer
How Did You Hear About Us
*
Your answer
I authorize P.L.A.C.E. Art Studio/ P.L.A.C.E. Multicultural Children's Museum to take photographs and videos of my child. I understand that these photographs/videos, may be used for display on P.L.A.C.E.'s website, social media and/or articles in local newspapers.
*
Yes
No
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
