Emergency Contact Information

First Name*

Last Name*

Relationship*

Phone Number*

Health and Accessibility Information

Do you have any allergies or medical conditions we should be aware of?*

YesNo

If yes (Please Specify)*

Do you require any special accommodations for accessibility?*

YesNo

If yes (Please Specify)*

Workshop Preferences

What are your goals for attending this workshop?*

Do you have any prior experience with art therapy or related activities?*

YesNo

If yes (Please Specify)*

Is there any particular art medium you are interested in exploring?*

Additional Comments

Terms and Conditions *

I acknowledge that participation in this workshop involves art-making activities that may include the use of materials such as paints, markers, and other media. I agree to take necessary precautions to avoid any adverse reactions or injuries.
I consent to the use of photographs or video recordings taken during the workshop for promotional purposes.
I understand that the workshop facilitators will take all reasonable precautions to ensure my safety, but I acknowledge that participation is at my own risk.

I accept all Terms and Conditions

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Emergency Contact Information

Health and Accessibility Information

Workshop Preferences