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Thank you for taking the time to answer Mosaic Class Safety Guidelines Survey from Test Void
First Name:
Last Name:
Email:
Student artists name
Student artists grade and teachers name.
Name of emergency contacts- phone numbers & email
Will your child be going to The Lab after Class?
Yes
No
Does your child have any medical conditions?
Does your child have any allergies or take any medications?
Names of person (S) allowed to pick up your child:
I give permission for my child to have their picture taken for All the Arts for All the Kids Foundation and/or Fullerton School District to us on any social media platforms.
Yes
No
Thanks
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