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Thank you for taking the time to answer Sunset Lane Mosaic Class Session #2 from 2023 Golden Hills Mosaics Class
First Name:
Last Name:
Email:
Please fill out all information. This survey will be used as your artists emergency form.
What is your students name?
What grade is your student in?
Name of Parent/Guardian
What phone number and email do you want us to use in case of an emergency?
Does your student have any allergies or medical emergencies we should be aware of?
Who is able to pick up your student from Mosaic Class?
I give permission to use my students artwork or picture for All the Arts for All the Kids Foundation website, social media, or marketing.
Yes
No
Thanks
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