Young Ladies Group Wonderfully Made

Application Submission Form (2020-2021)

In case of an Emergency, if we cannot reach the parents, who would be the best person to contact other than yourself?

Do you give your permission to photograph your child individually or in a group or in a group and putting the photos onto our website/facebook/instagram?

  • Child's Info
  • Father's Contact Info
  • Mother's Contact Info
  • Emergency Contact
  • Privacy & Health

First & Last Name

Child's First & Last Name

Date of Birth

Phone Number

Email

Child's Home Address

School Grade

Upload Child's Photo for Verification

Max. size: 128.0 MB

Father's First & Last Name

Father's First & Last Name

Father's Phone Number

Father's Email

Best way to reach

Father's First & Last Name

Mother's First & Last Name

Mother's Phone Number

Mother's Email

Best way to reach

Emergency Contact First & Last Name

Emergency Contact First & Last Name

Emergency Contact Phone Number

Emergency Contact Email

Relationship to the Child (Aunt, Uncle, Family Friend, etc.)

Privacy Protection:

Do you give your permission to photograph your child individually or in a group and putting the photos onto our website/facebook/instagram?

Allergies / Health Issues:

Does your child have allergies/health problems we should be aware of?

If you answered YES to the last question, please list what allergies or health issues we need to be aware of:

Confirmation

Name of Person Filling Out Form

Please read our terms and AGREE before submitting form: 1. I understand that the YLG Wonderfully Made program is planned through the end of May 2021 and that my daughter should not miss the group more than 3 times during the year program without a good/proper reason. 2. I acknowledge that if my child has more than 3 no-call no-show occurrences, she will be excluded from the group until the beginning of a new YLG year until September, when she will be able to re-apply. 3. I am aware that the monthly fee cost is $40.00 per one girl (who will be attending the group, this monthly fee does not change, unless there is more than one girl per family attending. In that case, the second girl is an additional fee charge of $20.00 and the third girl has an additional charge of $10.00). The fees are to be paid in full, on the first Tuesday of the month. 4. The YLG Wonderfully Made event takes place every Tuesday from 6:30 - 8:30 pm. 5. Every second Sunday from 11:30 am to 1:30 pm YLG Wonderfully Made is participating in the Combined Young Generation service (it is required for every YLG Wonderfully Made participant to be part of the this service). I understand that if my daughter/daughters will fail to attend this service, the paragraph 2 above shall apply. 6. I understand that I am “the Parent” is responsible for my daughter/daughters attendance of the Combined Young Generation service, every second Sunday of the month. 7. I give permission to my daughter/daughters to participate in the structure of the Biblical principals which is the core foundation of the YLG Wonderfully Made program. I confirm, that I understand the above terms required by YLG Wonderfully Made and that the information in this application is true and accurate.