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Petit Patissier Club
Intake Form
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Email
*
Your email
Parent/ Guardian Name
Your answer
Parent / Guardian email
Your answer
Parent / Guardian Phone number
Your answer
Name of Child
*
Your answer
Age of child ( 8-14)
*
Your answer
Current Grade of child and school
*
Your answer
Are you/ your child willing to commit to the 13 week program
*
Yes
No
Other:
Does your Family reside in Bed Stuy Brooklyn
Yes
No
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Does your child show interest in baking
*
Yes
No
Can your child read, write and do basic math
*
Yes
No
Does your child have any behavioral or learning challenges we should be aware of
Your answer
Does your child work well in groups/ teams
yes
No
Other:
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what skills if any does your child show towards baking or cooking
Your answer
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