NewStudent

If you have previously filled out a New Student Form there is no need to fill out another.
Thank you for your patronage, and we'll see you in class!

New Student Information Form

Hi there! Welcome to Art Classes at The Little Yellow Building.
In order for us to get to know a little more about you please take some time to fill out this form. If you would prefer to fill it out in person you can do so at 811 Hwy 51 N, Brookhaven, MS 39601.

* Indicates required field

Students Name *

First

Last

Birthday *

Phone Number *

The best way to contact home is by: *

Phone Email Notes sent home

Emergency Contact Number *

Email that you check *

Please list any goals that you may have for the student this year. *

What are the students strengths? *

What are the students weaknesses? (...things to work on...) *

List any special interests, activities, and/or hobbies the student may have. *

Please list any allergies the student may have. *

What are three words that describe the student? *

Any special comments you would like to make? *

Submit