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kids workshop questionnaire
adult workshop Questionnaire
Kids Workshop Questionnaire
Full Name of parent/guardian of Attendee(s)
contact phone number
Email Address
Full name(s) of attendee(s)
For children, please includes ages.
Any medical/behavioural information we should be aware of for any attendee(s)?
Photography
Are you happy for all of the Attendee(s) to be photographed at the workshop/art club event for use on our website and social media sites and for future promotion?
Yes
No
First aid administration
We try to minimise the risk of injury, but sometimes accidents do happen, are you happy for us to give First Aid if needed? In the event of an emergency, we'll call an ambulance as well as the first emergency contact number provided. If you'd rather an alternative action plan was in place please use the box below to let us know what you'd like to happen.
Yes
No
Emergency action plan.
Dietary requirements / allergies
Please feel free to send your arty puffling in with a snack, but please be mindful that Hayfield Primary School is a nut free school. Please list here any allergies your child may have.
Second emergency contact information
Please provide the name and phone number of a second emergency contact. If we need to get in touch during an art club session and cannot get hold of the first details provided above, we will try to make contact on the phone number provided here.
pick up information
Please list the names of adults who you give permission to pick up the attendee at the end of the session. In line with safeguarding, we cannot let a child leave with anyone who is not on this list.
Subscribe to newsletter?
If you wish your email address to be added to a mailing list so that you can hear about future workshops, classes and events relevant to Pipsy Puffin Art, please check the box below.
Yes please, keep me up to date!
no, thank you
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Adult Workshop Questionnaire
Full Name of Attendee(s)
contact phone number
Email Address
Any medical/behavioural information we should be aware of for any attendee(s)?
Photography
Are you happy for all of the Attendee(s) to be photographed at the workshop/art club event for use on our website and social media sites and for future promotion?
Yes
No
First aid administration
We try to minimise the risk of injury, but sometimes accidents do happen, are you happy for us to give First Aid if needed? In the event of an emergency, we'll call an ambulance. If you'd rather an alternative action plan was in place please use the box below to let us know what you'd like to happen.
Yes
No
Emergency action plan.
Dietary requirements / allergies
A small snack (from Door 34 Café) and soft drink will be provided during the class, please list any dietary requirements or allergies here.
Subscribe to newsletter?
If you wish your email address to be added to a mailing list so that you can hear about future workshops, classes and events relevant to Pipsy Puffin Art, please check the box below.
Yes please, keep me up to date!
no, thank you
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
