Participant Form - NHCC New Beginnings
Thank you for your interest in attending New Beginnings at Neighborhood House Community Center (29 S. Mills St., Madison WI)!

New Beginnings is a social program designed for people with cognitive disabilities in mind. The program meets:

Every Wednesday & Friday
10am – 12pm

Every 2nd Wednesday of the Month

6:30pm - 8pm

To enhance our commitment to providing a secure and inclusive environment, we collect emergency contact and accommodation information.

Contact & Emergency Contact Information: In unforeseen circumstances, such as medical emergencies or unexpected events, having accurate and up-to-date emergency contact details ensures that we can quickly reach out to designated contacts to inform them and, if necessary, seek their guidance.

Accommodation Information: Understanding specific needs helps us create an environment that accommodates everyone. Whether it's providing accessible facilities, considering dietary restrictions, or offering tailored support, accommodation information allows us to personalize our services to ensure your comfort and inclusion. Please make any specific accommodation requests at least two weeks prior to attending.

Confidentiality: The information you provide is confidential and will only be used for emergency situations or to make necessary accommodations. We appreciate your cooperation in helping us create a safe and welcoming experience for all. If you have any concerns or questions regarding the use of this information, please feel free to reach out to our team. Thank you for being part of our community.

For questions, concerns, or more information, contact: Laura Gundlach-Heiman, Executive Director & New Beginnings Main Contact: Office Phone: 608-255-5337 Email: laura@neighborhoodhousemadison.org

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