Groomed for Greatness Membership Application

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Email *

Parent's Name *

Address *

City *

ST *

Zip *

Phone Number *

Cell Number *

Email address *

Preferred Method of Contact *

Phone Number

Cell Number

Girl #1 Name *

Preferred Name? *

Girl #1 Age *

Girl #1 DOB *

YYYY

Any Allergies? *

Does your child have any health concerns that would prohibit her from participating in certain activities or special needs we should be aware of?
*

Girl #1 T-Shirt size *

XXL

Girl #2 Name

Preferred Name?

Girl #2 Age

Girl #2 DOB

YYYY

Any Allergies

Does your child have any health concerns that would prohibit her from participating in certain activities or special needs we should be aware of?

Girl #2 T-Shirt Size

XXL

Clear selection

Girl #3 Name

Preferred Name?

Girl #3 Age

Girl #3 DOB

YYYY

Any Allergies?

Does your child have any health concerns that would prohibit her from participating in certain activities or special needs we should be aware of?

Girl #3 T-Shirt Size

XXL

Clear selection

Emergency Contact *

Emergency Contact Phone Number
*

Relationship? *

Submit

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