The Barn is committed fulfilling the needs of the community and having an inclusive and welcoming environment for its participants and their families. To ensure we are respecting and advancing our diversity, we need to gather certain information below. Please check ALL the boxes that apply to you if you feel comfortable to do so. *
Required
Does your child have any Allergies? *
If yes, please give us more information, ie. what is the allergy and what actions would be needed, if any.
Your answer
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.
Your answer
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 about this event/program. If you prefer to not be added, please let us know at madisonartsbarn@gmail.com. PLEASE DO NOT ENTER A SCHOOL EMAIL. If you would like more than one email address on the notification list please list all of them here
Your answer
Parent's/Guardian's Name: *
Your answer
Parent's/Guardians' Cell Phone Number *
Your answer
Emergency Contact: Name *
Your answer
Emergency Contact: Cell Number *
Your answer
Does this Student have a SIBLING that will be attending this event/program? *
Please SIBLINGS only, as they should have the same contact information as Student #1.