Which artform(s) do you have interest and ability in, and would like to be considered for when a business needs help? *
Required
The Barn is committed to 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 the participant have any medical, emotional, or social concerns that we should be aware of? *
If No, please enter "none" If Yes, please explain.
Your answer
Street Address *
Your answer
Town of Residence *
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
1st Parent's/Guardian's Name: *
Your answer
1st Parent's/Guardians' Cell Phone Number *
Your answer
2nd Parent's/Guardian's Name: *
Your answer
2nd Parent/Guardian's Cell Phone Number *
Your answer
Emergency Contact: Name *
Your answer
Emergency Contact: Cell Number *
Your answer
Would you like to register another participant from the same household that will be attending this event/program? *