Dream Registration

Dream Girls Club Registration

First Name

Last Name

Age

Birthdate

Parent/Guardian First Name *

Parent/Guardian Last Name

Address

Best Phone #

Phone #2

Phone #3

Any Health Issues / Special Needs:

How will your Daughter get home?

I agree to the use of photos/video images of my daughter for the charity’s promotional purposes.

Yes No

I release and hold harmless Phenomenal People/DREAM GIRLS CLUB and its directors, officers, advisors, employees, instructors, volunteers, and all other persons or entities acting for them from any and all claims, demands, suits, costs and charges, in connection with or arising out of their service, including but not limited to, personal injury, bodily harm, injury, or property damage occurring while the above child/children is/are in their care.

I Agree

Parent/Guardian Full Name

Date

Dream Girls Club Registration

PHENOMENAL PEOPLE