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6th-8th Grade Girls Night In-'Tis the Season

GNI

Student First & Last Name*

Answer Required

Current Grade*

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6th Grade

7th Grade

8th Grade

Name of Current School*

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Address

Street Address

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City

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Zip/Postal

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Parent/Guardian First & Last Name

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Parent/Guardian Phone Number

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Parent/Guardian Email*

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Does you daughter have any allergies or medical conditions we need to be aware of? If "Yes", please list:

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Payment

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$0.00 - Will pay on 11/3 at event(cash only)

***By submitting this form, I agree to allow my daughter to take the entrance exam at Regina Dominican on Saturday, December 4, 2021. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my daughter may be exposed to or infected by COVID-19 by attending the event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I hereby release, covenant not to sue, discharge, and hold harmless Regina Dominican, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

Confirmation Email

Confirmation Email *

Email Required