De Colores Art Cafe // Café de Arte De Colores
Greetings! Thank you for your interest in the Southwest Collective's Summer Arts Program in collaboration with Chicago's  Department of Cultural Affairs and Special Events (DCASE). Please fill out this form if you plan to bring your child to our art sessions! We will be sending out confirmations & reminders on Tuesdays.

¡Saludos! Gracias por su interés en el Programa de Artes de Verano del Southwest Collective en colaboración con el Departamento de Asuntos Culturales y Eventos Especiales de Chicago (DCASE). ¡Complete este formulario si planea traer a su niño a nuestras sesiónes de arte! Enviaremos confirmaciones y recordatorios los martes.
Sign in to Google to save your progress. Learn more
Your Zip Code? // Su Código Postal? *
Has your child attended any of our past sessions? // ¿Ha asistido su niño a una de nuestras sesiones? *
How many children will you be bringing with you? // ¿Cuántos niños traerás contigo? *
Child's Name // Nombre del Niño(a)(x) *
Child's Age // Edad del Niño(a)(x)
*
Parent or Guardian's Name // Nombre del Padre o Tutor
*
Parent or Guardian's Phone # // # de Telefono del Padre o Tutor
*
Parent or Guardian's Email Address // Correo Electrónico del Padre o Tutor
Preferred method of communication for reminders? // ¿Como prefiere que le mandemos recordatories? *
Does your child require any physical accommodations? // ¿Su hijo(a)(x) requiere adaptaciones físicas?
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