Contact Form Please submit form to receive more information and to register your interest in art classes for your child/ren. Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Child 2 Name First Name Last Name Date of birth Child 2 MM DD YYYY Parent/ Guardian Name * First Name Last Name Parent/Guardian Phone Number * (###) ### #### Parent/Guardian Email * What are your child's interests/skills in the visual arts area? * What session time suits you the best? * Beginner (ages 6-9) Monday 4-5pm Beginner (ages 6-9) Tuesday 4-5pm Beginner (ages 6-9) Wednesday 4-5pm Beginner (ages 6-9) Thursday 4-5pm Intermediate 1 (ages 10-13) Monday 5:30-6:30pm Intermediate 1 (ages 10-13) Thursday 5:30-6:30pm Intermediate 2 (ages 14 and up) Monday 5:30-6:30pm Inclusion Class (ages 10 and up) Tuesday 5:30-6:30 Private/ 1:1 (ages and times negotiated) Is there any further information? Do you have more than one time preference? Does your child/ren require specific supports to facilitate their inclusion in art classes? Any other information? Thank you! I’ll be in touch shortly to discuss placement in an art class. Find out more about me ABOUT Artwork
