JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Glen Ridge Girls' Club Candy Cane 2021
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Member Name:
*
Your answer
Name of Escort (if applicable):
Your answer
Escort Email (if applicable, but must include if taking an escort):
Your answer
Emergency Contact/Parent Name:
*
Your answer
Parent/Guardian Telephone Number (must be available between 8 PM and 11 PM on 12/11/21):
*
Your answer
Parent/Guardian Signature:
*
We have been informed of and agree to abide by the Candy Cane Ball guidelines.
Your answer
Member Signature:
*
I have read and agree to abide by the Candy Cane Ball guidelines.
Your answer
Parental Permission to use Photographs for Girls Club and Related Publicity:
*
Choose
Yes
No
Payment Option:
*
Venmo
Check
I will EMAIL Evidence of Vaccination to
girlsclubglenridge@gmail.com
or bring a Negative PCR Test (within 48 hours) to the dance:
*
Choose
Email Evidence of Vaccination
Bring Negative PCR Test (within 48 hours)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
