JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MAGNOLIA GIRLS' CLUB 2022
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Surname
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Parent/ Guardian's name
*
Your answer
Parent/ Guardian's number
*
Your answer
Address
*
Your answer
School attending
*
Your answer
Year Level
*
Year 5
Year 6
Emergency Contact (name and number)
*
Your answer
Who referred you to Magnolia Club/ how did you hear about us?
*
Your answer
I Would you like to receive information on other activities e.g for mothers?
*
Yes
No
Do you suffer from any medical conditions? (Please specify if yes)
*
Your answer
Media consent. I agree to allow Fernhall to use my daughter’s images, photographs, videos for Fernhall's promotions and advertisements.
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fernhall Study Centre.
Report Abuse
Forms
