good life girls

Registration Form

Please fill out the following completely for each child that you are registering.  You only need to fill out one form per child per year. All below information is required to comply with guidelines set by the childcare licensing department of Colorado. Please note that along with this registration form, you will be required to submit your child’s immunization records, medical authorization forms, and sign a liability waiver which are all available on our parent information page. Please contact us at 970.279.1137 with any questions regarding this form.

THANK YOU FOR JOINING THE GOOD LIFE GIRLS!

Child's Information
Child's Name *
Child's Name
Child's Birthday *
Child's Birthday
Please list any foods that your child particularly enjoys.
Tell us about your child's swim/bike/climb/sup/raft/hike experience & knowledge (only describe registered activity):
Parent's Information
Parent 1 Phone Number *
Parent 1 Phone Number
Parent 1 Employer Phone Number
Parent 1 Employer Phone Number
Parent 1 Employer Address
Parent 1 Employer Address
Parent 2 Phone Number
Parent 2 Phone Number
Parent 2 Employer Name
Parent 2 Employer Name
Parent 2 Employer Address
Parent 2 Employer Address
Parent 2 Employer Phone Number
Parent 2 Employer Phone Number
Emergency Contacts
Name *
Name
Phone Number *
Phone Number
Name *
Name
Phone Number *
Phone Number
Program Information
I agree that all above information is true and correct and hereby agree to terms of registration.
Please type your full name as a signature to submit this form.
Which Dates are you signing up for? *