Sensory Challenges Form – Fulton Theatre

Child's Name*

First Last

Parent/Guardian's Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Phone*

Parent/Guardian Email*

Help Us Understand Your Child's Needs

This information is confidential, and shared only with necessary Fulton staff.

Age/Grade of Your Child*

Child Birthdate*

Does your child have previous experience attending a theatre performance or class?

Theatre Stimuli Identified as Potential Triggers

Indicate stimuli that may trigger a negative response from your child. We will attempt to notify you when the stimulus is used in one of our Family Series productions.

What information would you like to share with us about your child regarding physical, cognitive, developmental concerns, and/or learning disability?

This information may help us to design lobby activities more appropriate for your child, and prepare Fulton artists and staff to interact with your child.

How can we best meet the needs of your child?

List any strategies that you expect to use with your child while at the Fulton. We will notify Fulton staff and ushers of your strategies so that they are equally prepared.

Would you like to share your child's interests and favorite activities?

With this information, we can better prepare lobby activities to support your child’s experience.

What are your goals for your child as a participant in the Fulton Saturday Morning Family Series?

Eichmann Saturday Morning Family Series

If you attend a Family Series performance, would you like to arrange a meeting for your child and a Fulton artist in the week prior to the performance you will attend?

Ticket Reservation

Tickets for the October Workshop are Free. Tickets to the Saturday Morning Family Series range between $10-$20.

Number of tickets

Please enter a number from 1 to 10.

Seating Preferences*

First floor
Second floor
Close to the stage
Rear of the theatre
Middle of an aisle
By an exit
In an isolated area
Accessible seating

We will do our best to seat you closest to your accommodation needs.

Special Seating Notes

Tell us anything else that will help us successfully seat your child and family.