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Registration Form - 10th Annual Girls’ Day @ City Hall
Thursday, March 12

A day designed to help expose young women of high school and middle school age to potential careers in public service and strong leadership roles.


Guidelines

Along with the following registration form, the Parental Release and Waiver of Liability Agreement must be completed and returned to the Event & Outreach Coordinator, prior to attending.

Please remember: Girls attending must be accompanied by a guardian or chaperone. If attending as part of a group, all registration forms must be submitted at the same time, no exceptions. Applications will not be considered complete until you receive confirmation. Space is limited.

Download Agreement

  1. Upload below, OR
  2. Upload separately, prior to event
  3. Email to Event & Outreach Coordinator

*Registration ends Wednesday, Feb. 26 OR UPON CAPACITY.

Attending Guardian/Chaperone

First Name:  Last Name:

Email:  Phone:

Upload Parental Release and Waiver of Liability Agreement:


Student Information

First Name:  Last Name:

Address:

City:  State:  Zip Code:

Email:  Phone:

Age: Grade:

T-shirt size:


Student School/Organization Information

Name of School/Organization:

City:  State:  Zip Code:


Photo Release

I understand, as parent/legal guardian of the child listed on this form, that there are times when the local media requests the opportunity to videotape, take photographs and/or interview children attending City of Milwaukee events. I also give permission to the city to take or use pictures or videos of my minor child without compensation from the city for published, broadcast or electronic materials. I understand that by signing this, I am on behalf of my child releasing the City of Milwaukee and its directors, officers, employees and agents from any future claims as well as from any liability arising from the use of any photograph or other images.

 I hereby certify that I have read and understand the above information.

 

 

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