Art With Heart Craft Day - Feb. 5th

Child's Name

Child's Age

Child's Date of Birth

Is the following snack okay for your child to receive?

Popcorn Bottled Water Not Okay

Last School Grade Completed

Legal Guardian

This address will receive a confirmation email

Home Phone

Cell Phone

Address

Parents’ Permission to use photos of their child for publicity via our website and social media?

Yes No

Does your child have any special needs?

Has your child recieved the full COVID vaccine?

Yes No

Emergency Contact

Emergency Contact Number

Relationship to Child

Description

Sunday, February 5th from 2-5 PM

“Art With Heart” is having a Craft Day for kids in 1st through 6th grade on Sunday 2/5 from 2-5pm. Several special crafts will be available at no cost to make.

Art With Heart Craft Day - Feb. 5th

Description

Please Fix the Following