Sunday Funday Application

5 Towns

Apply Online

Please fill out all the required fields, and click Submit when you are done.

1. Child Information

Are you already a Glick Girl/Guy?

First Name

Last Name

Grade (Entering)

Child #2 First Name

Child #2 Grade (Entering)

Child #3 First Name

Child #3 Grade (Entering)

Child #4 First Name

Child #4 Grade (Entering)

Allergy: Please list anything your child is allergic to. If your child owns an EpiPen, please state:

2. Personal Information

Mother's Name

Mother's Cell

Father's Name

Father's Cell

Email Address

3. Submit

By registering your child in GlickGirl, you and any legal guardian of your child give permission for the staff at GlickGirl to deal with any medical emergencies and make any necessary medical decisions, and agree not to hold Glick Girl LLC liable for illness or injury. I agree to the terms and conditions as seen here.

Date

Electronic Signature

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