JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Codroy Valley Art Summer Camp Survey
With visual artist Jane Walker, 2022 Artist-in-Residence at Live Textiles / Tuckaway Farm
Complete this survey to help me design an art summer camp for the kids of the Valley!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name (Parent / Guardian)
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
What is the best way to reach you with information about the camp?
*
Email
Phone
What community do you live in? (This information will be used to set a convenient location for the camp)
*
Your answer
Child(ren)'s Name(s)
*
Your answer
Age Group(s)
*
4-5 years old
6-7 years old
8-9 years old
10-11 years old
12-13 years old
14-15 years old
Other:
Required
Check any art activities below that your child would be interested in learning or experimenting with?
*
Drawing
Painting
Sculpture
Textiles (knitting, weaving, rug hooking, sewing, embroidery etc)
Sculpture
Nature and land-based art
Printmaking
Mixed media and collage
Photography
Other:
Required
What would be the ideal length for a summer camp?
*
1 Weekend (Saturday and Sunday)
2 Weekends
1 Week (Monday - Friday)
4 Days (Monday - Thursday)
3 Days (Monday - Wednesday)
Other:
Required
What is the ideal length of each day?
*
Mornings (9:00AM to 12:00PM)
Afternoons (1:00PM to 4:00PM)
Full Days (9:00AM to 4:00PM, hour break for lunch)
Other:
Required
What weeks / weekends in July and August are you available?
*
Your answer
Where is your ideal location for the summer camp?
*
Tuckaway Farm (Millville)
Other:
Required
Is there anything else you would like me to know in order to make this experience more accessible to your child?
Your answer
Thanks very much for your feedback!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jane Walker.
Report Abuse
Forms