Form
ATL G.I.R.L.Z. Presents Skating Into the New Year Vision Board Party
See It. Believe It. Skate Into It. Saturday, January 9, 2027. 1:00 PM–6:00 PM. Cascade Family Skating – Atlanta, Georgia Boys & Girls • Ages 6–17. Join ATL G.I.R.L.Z. for an afternoon of vision, goals, skating, food, giveaways and fun as we encourage our youth to start 2027 believing in what’s possible for their future. 1:00–3:00 PM: Vision Board Party. 3:00–6:00 PM: Skating, Food & Fun. Youth registration is free, but space is limited and advance registration is required. IMPORTANT: Parent/guardian admission is not included with youth registration. Parents/guardians and additional guests are responsible for purchasing their own admission to Cascade Family Skating.
PARTICIPANT INFORMATION
Child’s Full Name
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First Name
Last Name
Child’s Date of Birth
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child’s Age
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Please Select
6
7
8
9
10
11
12
13
14
15
16
17
First ATL G.I.R.L.Z. event?
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Yes
No
Need skate rental?
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Yes
No
Skate Size
PARENT/GUARDIAN INFORMATION
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMERGENCY CONTACT
Emergency Contact Name
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First Name
Last Name
Relationship to Participant
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Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
HEALTH, ALLERGIES & ACCESSIBILITY
Does your child have any food allergies or dietary restrictions?
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Yes
No
If yes, please list the food allergy or dietary restriction and any important information we should know.
Does your child have any medical, developmental, mobility, sensory, accessibility, or other support needs that ATL G.I.R.L.Z. should be aware of for this event?
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Yes
No
If yes, please provide any information that will help us safely and appropriately support your child during the event.
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PHOTO & VIDEO PERMISSION
PHOTO & VIDEO NOTICE Please Read Carefully. ATL G.I.R.L.Z. will be photographing and recording portions of the Skating Into the New Year Vision Board Party. Photos and video may capture participants engaging in vision-board activities, skating, receiving giveaways, participating in group activities, and enjoying the event. Photographs and recordings may be used by ATL G.I.R.L.Z. for legitimate organizational purposes, including our website, social media, event recaps, promotional materials, fundraising and sponsorship materials, and the promotion of future ATL G.I.R.L.Z. programs and events. By registering your child for this event, you acknowledge and understand that photography and video recording will take place during the event and your child may appear in photographs or recordings.
Acknowledgement
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I have read and understand the ATL G.I.R.L.Z. Photo & Video Notice and acknowledge that photography and video recording will take place during this event.
PARENT/GUARDIAN RESPONSIBILITY & EVENT ACCESS
Please Read Carefully. The Vision Board Party from 1:00 PM–3:00 PM is a supervised youth-only experience for registered participants. Parents, guardians, siblings, and other guests will not be permitted inside the designated Vision Board Party area during this portion of the event. Although ATL G.I.R.L.Z. will provide supervision during the Vision Board Party, the registering parent/guardian remains ultimately responsible for their child and must remain reachable by phone throughout the event in case they need to be contacted. Beginning at 3:00 PM, participants will transition to the skating portion of the event. Parents/guardians who wish to enter or remain inside Cascade Family Skating during the skating portion are responsible for purchasing their own admission, as well as admission for any additional guests. Parent/guardian and guest admission is not included with the child’s ATL G.I.R.L.Z. registration.
Acknowledgement
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I have read and understand the Parent/Guardian Responsibility & Event Access policy. I understand that I must remain reachable by phone and that parents/guardians and other guests are not permitted inside the Vision Board Party area from 1:00–3:00 PM. I also understand that I am responsible for my own admission and the admission of any additional guests.
Please list an adult who is authorized to pick up your child if someone other than the registering parent/guardian will be doing so. A valid photo ID may be required at pickup.
First Name
Last Name
Relationship to Child
Authorized Pickup Person’s Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
PARENT/GUARDIAN ACKNOWLEDGMENT & CONSENT
Please Read Before Signing By completing this registration, I certify that I am the parent/legal guardian of the registered participant or am otherwise legally authorized to register the child. I understand that my child will be participating in activities associated with the ATL G.I.R.L.Z. Skating Into the New Year Vision Board Party, including the youth-only Vision Board Party and roller skating. I understand that roller skating and other recreational activities involve inherent risks, including falls, collisions, and accidental injury. I agree to provide accurate information regarding my child’s health, allergies, accessibility needs, emergency contacts, and any other information necessary to support their safe participation. I understand that I must remain reachable by telephone throughout the event and agree to respond promptly if ATL G.I.R.L.Z. contacts me regarding my child. I acknowledge that photography and video recording will take place during the event and authorize ATL G.I.R.L.Z. to photograph and/or record my child and use those photographs or recordings for organizational purposes, including social media, websites, event recaps, promotional materials, fundraising, sponsorship materials, and promotion of future programs and events. I certify that the information provided in this registration is accurate to the best of my knowledge.
Acknowledgement
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I have read, understand, and agree to the acknowledgments and consent statements above.
Parent/Guardian Full Legal Name
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First Name
Last Name
Signature
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Date Signed
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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