Registration Form 2019/20
One form per child. Please email us with any questions stagirlgenius@gmail.com.
Your Information
Parent First and Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Can we text you? *
Address *
Your answer
Your Daughter's Information
Child's First and Last Name *
Your answer
Age of Child *
Your answer
Birthday Month and Day *
Your answer
Child's grade this fall *
Child's Shirt Size *
Does your child have any allergies? *
List allergies here
Your answer
Registration Fee
The fee is $60 per child and includes materials, snack and a t-shirt. *
Payment
The registration fee is due August 17, 2019 and will be required to purchase materials for your child. Please drop checks payable to Kandi Madden at the parish office or mail to PO Box 2651, Litchfield Park AZ 85340. *
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