Intake form 1. Your name * First Name Last Name Your child/children's names and ages * 2. Email * If other families are participating, please add below an email and/or phone number for each extra family so I can share this form with them. 3. Phone number * Add prefix if not from the UK. 4. Emergency contact * Who can I call if you are not home during a session and I can't reach you? Please add: - Phone number - Name - Relationship to child/children 5. Address and postcode * 6. Any allergies, medical requirements, or relevant support needs? * Please specify all allergies even if they don't seem relevant to art making. Yes No If you selected yes, please specify: And add if there is anything specific I can do to help. 7. Any preferences regarding materials or the theme of the session? Feel free as well to specify any of the current interest of the participating children, I will see if I can find a way to fit them into the session. If you have no specific preference, just leave blank and I'll pick something myself. 8. Any other information you think would be useful? Leave blank if nothing comes to mind. 9. Photo consent area * I usually take pictures of the children's works at the end of the session to add to my online gallery/socials. Sometimes I also take pictures of the children working on their pieces (only showing hands etc, no faces). As a rule, I leave children's faces out of the pictures unless previously authorised. Please select below what is your level of comfort. I confirm I am happy for you to take pictures of the child/children's artworks to share on your gallery/socials (NO FACES) I am happy for you to both take pictures of the child/children's artworks as well as showing their faces for the purposes of sharing on your gallery/socials. I am not comfortable with any pictures being taken at all. Other (please specify on the box above: "Any other information you think would be useful?) 10. How did you hear about this? Friends/family Facebook group (Egg) Facebook group (other) Flier Business Card Google Search Other Final Acknowledgment * I hereby confirm that I am the parent or legal guardian of the child/children named above, or I am otherwise authorized to make decisions on their behalf. Thank you! Do get in touch if you’d like me to erase any of this data in the future. Just so you know, I split and store this information in separate locations on my laptop and delete the email as soon I am done with it.