Request edit access
WOMEN IN LAW AND BUSINESS: CAREER READINESS PROGRAM Registration
The child must be going into 7th-9th grade. There is no fee for this program. It will run from June 19th- June 22rd from 3-5 pm and on June 23rd 12-2pm (library closes early). This program will now be held at the Whippanong Library.
Sign in to Google to save your progress. Learn more
What is the full legal name of your child being entered in the program (if you have more than one child entering the program please fill out this form twice)  *
Name to be used at camp if it differs from above
Entering grade of child entering the program *
What school does your child attend? *
Name of both legal guardians  *
Contact Information: Please give both parents' or guardians’ (if applicable) phone numbers and emails. These individuals and the emergency contacts will be the only individuals allowed to pick up the child. *
Emergency Contact #1 (Give name, relation, phone number, and email) Must be different from guardian *
Emergency Contact #2 (Give name, relation, phone number, and email) Must be different from guardian  *
List your child's physician and their contact information below. *
Your child will not be provided food during this program but please list if they have any allergies and if so, send them in with their Epipen everyday *
Please list any special medical needs that your child has below. This includes any medicine that they will have to take under our care. 
Please list any additional information that you feel we should know in advance about your child:
By checking the box below you are agreeing to the following terms:
I understand that Kayleigh McArdle and Victoria Huang are not responsible for any injuries my child obtains during the program and or inflictions that are caused by my child. 
I understand that Kayleigh McArdle and Victoria Huang have no obligation to wait with my child after the program ends at 5pm each day and that I must pick my child up at this time. 
I understand that if my child acts in violation of the wishes of Kayleigh McArdle and Victoria Huang, Kayleigh and Victoria Huang have the right to expel them from the program and call me to remove them from the premises. 
I understand that Kayleigh McArdle and Victoria Huang are in no way responsible for unseen circumstances and may close the camp if unexpected conditions ensue such as dangerous weather. 
I understand that my child must attend at least three days of the camp.
I will not bring my child to camp knowing that they have a transmittable illness, and that I will be required to pick them up if they show signs of COVID-19. 
The Whippanong Library is also not held liable for one's child. 
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hanover Park Regional HS District.

Does this form look suspicious? Report

Google Forms