REGISTRATION FORM

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What program are you registering for?

Parent's Name *

First

Last

Email

Phone Number *

Child's Name *

First

Last

Age *

Child's Phone Number

Are you an introvert, extrovert, or somewhere in between?

Do you work well in groups or are you more productive working alone?

Would you say you learn better with verbal directions, written instructions, or hands-on?

What art form do you think you would benefit from?

Are you more likely to lash out if you feel offended, threatened, or disrespected or are you more likely to bring the matter to an authority figure?

Is there anything else that you feel we should know that may assist us with your personality?

On a scale of 1-10, where do you rank when it comes to listening and following directions?

On a scale of 1-10, where do you rank yourself when it comes to being empathetic towards other children?

On a scale of 1-10, where do you rank yourself where would you rate yourself artistically?