Wild Art Club Survey Child's Name * First Name Last Name Transportation Please indicate whether we will be picking your child up from any of the following schools: Elk Meadow Pine Ridge Jewell Silver Rail What is your child interested in? * What type of art do they like to do? What are they excited to learn about? Does your child need a car seat or booster seat to ride in the van? * Car Seat Booster Seat None What are your child's strengths? * What challenges your child and how can we support them? * Is there anything else you'd like to share with us about your child? * How did you hear about our program? * Emergency Contact Name/Phone * Please include contact information for someone other than parents. Thank you! We will be in touch shortly to confirm that your application has been received and schedule a teacher meet and tour!
