Академический Документы
Профессиональный Документы
Культура Документы
Registration Form 2011-2012 Girls Name: _________________________DOB: ______________Grade (in 9/11): Parents Names: _________________________________________________________________ Address: ______________________________________________________________________ Street City Zip Phone: (Home) _________________(Work)_________________(Cell) Email address? _________________________________________________________________ Girl lives with: Both Parents Mom Only Dad Only Other
Which school does your attend? ____________________________________________________ Which church, if any, do you attend? _________________________________________________ Any Special Needs: ______________________________________________________________ Is there anything we should know about your daughter that would help us minister to her more effectively? _______________________________________________________________________________ ______________________________________________________________________ Registration Fee $20.00 Cash Check No.__________
ALLERGIES _____________ DATE OF LAST TETANUS SHOT __________________________ MEDICATION____________________________________________________________________ IMPORTANT INFORMATION OR INSTRUCTIONS_____________________________________ _________________________________________________________________________________ Parental Assistance As my schedule allows, I would be willing to volunteer this year to assist in the girls club program in the following ways (check appropriate boxes): Club Helper for: o o o o o Music Games Food preparer and/or server Special events and party dcor Craft Assistance o o o o Transportation needs Chaperone field trips Share a hobby or job Other
OVER PLEASE