GIRLS NIGHT OUT REGISTRATION FORM (April 21st)
IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL UPON COMPLETION OF THIS FORM please email the information requested on this form to mdonnelly@minisink.com or call Coach Donnelly at (845) 355-5879 THANK YOU
Email address
(Child's) Last Name
Your answer
(Child's) First Name
Your answer
(Child's) Age
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone #
Your answer
My Child has a gluten allergy/intolerance (while we can not guarantee, if the need is there we will try to order some gluten free pizza for those who need it. We will email prior to the event if we intend to do so.)
If you do not receive a confirmation email upon completion of this form (please check spam) you have not been properly registered. Please try again and/or email mdonnelly@minisink.com with the above information. If Registrations are not recieved we can not guarentee entrance to the event due to supervision requirements for the safety of all participants. THANK YOU
Required
I understand that I will have to pay cash and or check ($20) made out to Minisink Valley School District for Entrance to Event
Required
If there is a certain child(ren) who your child would prefer to be in a group with please let us know ahead of time. We will do our best to accommodate requests, but please keep in mind safety comes first. Thank you
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