Art Therapy Art Therapy Today's Date* MM slash DD slash YYYY Child's Name* First Last Child's Date of Birth* MM slash DD slash YYYY Languages Spoken* English Spanish Other School Name* Current Grade*Parent's Name* First Last Parents's Phone Number*Parent's Email* Address* Parent's Relationship Status* Is there a topic you would like for us to cover in order to specifically benefit your child? Explain.Which session will your child be attending?*First SessionSecond Session