Gala to Go
PARTY HOST APPLICATION
Legal Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Best Time to Call
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
Please Select
Small
Medium
Large
XL
2X
3X
Place of Employment
Length of Employment
Days You Would Like to Host:
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
How Often Would You Like To Host
Every Week
Once a Month
Twice a Month
I Would Like To Host the Following Parties (Check All That Apply)
Mocktail
Sing-a-long
Choreography
Storytelling
Briefly Describe Your Background in Working with Children
List Any Leadership/Volunteer Experience You Have Had:
List Any Training, Education or Special Personal Gifts That Have Shaped You To Serve in This Capacity
Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:
Local Personal References (Must Be 18 Years Old and Not Related to You)
Reference Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Reference Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
I hereby authorize Gala to Go to verify all information contained in this application with any references, my past or present employers, any other appropriate personnel at my past or present employment, other organizations, and any individuals. I authorize those who are contacted to disclose any and all information to Gala to Go. I release all such persons or entities from liability that may result or arise from Gala to Go’s collections of all such evaluations or information for its consideration of my application. Should my application be accepted, I agree to follow the policies of Gala to Go and to refrain from unapproved conduct in the performance of my services on behalf of Gala to Go. I understand that this personal information will be held confidential by our staff.
I agree with the statement above
I disagree with the statement above
I am the parent/legal guardian of the applicant and I agree with the statement above
I am the parent/legal guardian of the applicant and I disagree with the statement above
Apply Now
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