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
with any questions. Thank you.
Name of Parent or Legal Guardian
Name of the adult who will attend this event with my daughter (Required for 1st and 2nd graders, optional for 3rd and 4th graders)
Parent/Guardian Phone Number (in case of emergency)
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
. 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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