PUFFS - Workshop Registration

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Please fill out the following information as best you can.

Workshop begins on Sunday, May 2nd at 2pm and meets every Sunday (except Father's Day, which will be made up on June 21st at 6:30pm) until the performance date of on June 27th. If you have any questions, email us at madisonartsbarn@gmail.com

Actor's Full Name *

Name I Prefer *

Gender (preference/pronoun) *

Grade *

Date of Birth *

YYYY

Does your child have any Allergies? *

Yes

If yes, please give us more information, ie. what is the allergy and what actions would be needed, if any.

Does your child have any medical, emotional, or social concerns that we should be aware of? *

If No, please enter "none" If Yes, please explain.

Street Address *

Town of Residence *

Parent's Email: *

These emails will be added to our constant contact list to notify you of events and updates, as well as important information pertaining to rehearsals. If you prefer to not be added, please let us know at madisonartsbarn@gmail.com. PLEASE DO NOT ENTER A SCHOOL EMAIL.

1st Parent's/Guardian's Name: *

1st Parent's/Guardians' Cell Phone Number *

2nd Parent's/Guardian's Name: *

2nd Parent/Guardian's Cell Phone Number *

Emergency Contact: Name *

Emergency Contact: Cell Number *

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