Just Be-YOU-tiful Girl$ Registration Form

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Last Name * This field is required.
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First Name * This field is required.
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Middle Initial
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Address* This field is required.
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City* This field is required.
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State* This field is required.
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Zip* This field is required.
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Birth Date* This field is required.
Month
Day
Year
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Grade entering in the Fall* This field is required.
Senior
Junior
Sophomore
Freshman
8th
7th
6th
5th
4th
3rd
2nd
1st
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Which group is your child attending?* This field is required.
PETALS (Ages 5-8)
TULIPS (Ages 9-13)
BLOOMS (Ages 14-18)
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Parent/Legal Guardian* This field is required.
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Relation* This field is required.
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Home/Cell Phone* This field is required.
Area Code
Phone Number
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Parent /Legal Guardian (2)
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Relation (2)
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Home/Cell Phone (2)
Area Code
Phone Number
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Emergency Contact Name (if parent or guardian is not available for correspondence).* This field is required.
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Emergency Number* This field is required.
Area Code
Phone Number
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Parent's Email * This field is required.
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Camper's Email (Optional)
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How did you hear about Just Be-YOU-tiful Girls Business Summer Camp?
Please Select
Please Select
Friend
Church
Web
Promotional Event
Other
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I agree that photos of my child can be taken or I may upload photos for camp social media purposes only (your photos will never be sold to third parties).* This field is required.
Yes
No
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Take Photo (totally optional)
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Method of payment* This field is required.
Credit Card
Debit Card
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My Products* This field is required.
prevnext( X )
My Bag
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My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Just Be-YOU-tiful Girl$ Registration Fee+Processing Fee (Credit/Debit)
$201.50Edit
Back
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Quantity
Total cost $0.00
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Be certain to enter your email address correctly on the registration form to receive confirmation via email within 1 week.
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By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I understand that I am responsible for the safety of my child when participating in activities and will assist when needed. I certify that my child has my permission to attend camp and participate in all activites.

Nondisclosure Agreement:

I understand that this virtual camp program is the sole property of Just Be-Youtiful Girl$ Business Summer Camp. The content therein is for the sole purpose of providing financial literacy, entrepreneurial resources, and much more to our campers. It is prohibitted to duplicate, alter, sell, give away, modify, or share the program. I will direct any questions to camp administration via email at JustBeYoutifulGirls@aol.com.
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Electronic signature, please initial.* This field is required.
Should be Empty: