P.L.A.C.E. Winter Workshops
Sign in to Google to save your progress. Learn more
Email *
Name *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Allergies *
Special Considerations?
Parent/ Guardian *
Employed  By *
Home Address *
Town *
Zip Code *
Phone *
Emergency Contact Name & Phone *
Classes *
Required
Time *
Required
New Student *
School *
How Did You Hear About Us *
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. Full names will not be used. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms