P.L.A.C.E. Fall Workshops
Email address *
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 *
Required
Time *
Required
New Student *
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. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms