Marsh Landing Girls Registration

Yes. I am a registering for the 6th Grade Class*
Price: $330.00
$320+$10 processing
Email address(es) for class information.*
Alternate Email (if applicable)
Student Information
Name*
First Name Last Name
Preferred name for name tag*
Birth Date
Date Format: MM slash DD slash YYYY
School attending Fall 2020*
Grade Fall of 2020
Address*
Street Address Address Line 2 City State ZIP Code
Parent Information
Primary Contact*
- Mom
- Dad
Mom's Name
Prefix First Last Suffix
Mom's Preferred Phone Alternate Phone (if applicable)
Dad's Name
Prefix First Last Suffix
Dad's Preferred Phone Alternate Phone (if applicable)
For mailing and address purposes, are Mom and Dad at the same address?*
- Yes
- No
Sibling Information
Please provide sibling information for future invitations:
Sibling Name Grade Fall 2019 Age Gender

Select the "plus" icon to add more rows.
Please list any food allergies:
Photo Release Acceptance*
- I accept
Please confirm that you agree to grant us permission to use photographs of your child(ren) on our website, on social media and/or in releases to the media. If there are extenuating circumstances regarding the photo release or if you have questions, please email Email Us. We cannot control the distribution, posting or publication of photos taken by others at Manners for Life events.
Authorization
Parent Name
First Last
Tuition Payments
Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

Student Information

Mom's Preferred Phone	Alternate Phone (if applicable)

Dad's Preferred Phone	Alternate Phone (if applicable)

Sibling Name	Grade Fall 2019	Age	Gender