Intake form

Name *

Email address *

What type of workshop are you interested in?

Please select at least one option.

Painting

Ceramics

Both

What is your experience level with art?

Please select the days you are available to attend a workshop.

Please select at least one option.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What is your primary goal for attending this workshop?

Please select at least one option.

Stress relief

Emotional expression

Creative exploration

Social interaction

Skill development

Do you have any previous experience with art therapy?

Please list any allergies or sensitivities we should be aware of.

How did you hear about us?

Additional questions or comments

Canvas and Clay Wellness Workshops