Village School's Girls Excelling in Math Fun Day WAITLIST Sign-Up Form
We have reached our maximum registration capacity for Village School's Girls Excelling in Math Fun Day, Saturday, November 18, 2017, 9 a.m. to 11 a.m. Please complete this form once for each girl in grade 1 through 4 you wish to sign up for the WAITLIST for this event. Waitlist sign-up must be completed by a parent or legal guardian. We will contact you ASAP via the phone number or email you include in this form if a spot becomes available for your daughter. Contact ltassell@villageschool.us with any questions. Thank you.
Email address *
Registration
Name of Parent or Legal Guardian *
Your answer
Participant's Name *
Your answer
Participant's School *
Your answer
Participant's Grade *
Name of the adult who will attend this event with my daughter (Required for 1st and 2nd graders, optional for 3rd and 4th graders)
Your answer
Parent/Guardian Phone Number (in case of emergency) *
Your answer
Photo Release
I, the parent/legal guardian of the above-named child, grant my expressed permission for Village School to exhibit photographs or video likenesses of the above-named child on any press or media releases (newspaper articles, fundraising brochures) or on the website www.villageschool.us. No names will be published. By clicking "yes" to this release, I acknowledge that I hereby release and forever discharge Village School from and against any and all claims, damages or suits which may arise from, the use of Village school publications, press/media releases, or website, including, but not limited to, the exhibition of the above-named student’s photograph or likeness.
Your response to the photo release (see above) *
Request Additional Information
I would like to receive additional information about Village School, summer camp at Village School, and upcoming Village School events by email.
A copy of your responses will be emailed to the address you provided.
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