Health & Safety Form

NOTE: We have an obligation to ask, and are strongly urged to do so by the Wisconsin Department of Health and Family Services, that each guest provide certain information related to their health. Knowing the information requested below helps us to better provide for your comfort and safety, especially in the event of an emergency. All of the information you provide will be kept in confidence by The Clearing staff, and your form will be destroyed soon after you leave. Please return your completed form a minimum of two weeks prior to your arrival at The Clearing.

Food Related Information:

PLEASE NOTE: The Clearing does not grant meal requests that are based on food preference. While the kitchen staff does its very best to accommodate people with dietary requirements that are dictated by a medical condition, the nature of preparing and serving meals for large groups makes it very difficult to accommodate requests for separate meals or entrees that are based on food preference.

Medical Information: