"Beautiful & Bold" Interest Form
Smart Girls Only offers a range of empowering programs designed to foster personal growth and mental health awareness. "Beautiful & Bold" empowers young women to embrace their unique qualities, cultivating confidence and self-worth. This program is open to young women aged 12 to 21 years. 

If you are interested in participating, please complete this form in its entirety. Upon review of your submission, a member of the Smart Girls Only team will reach out to you regarding next steps. 

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What is your first and last name? *
When is your birthday?  *
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What is your email address? *
I understand that the meeting links for this program will be sent to the email address I provide in this submission. I agree to routinely check my email to ensure I am up to date on program activities.  *
What is your phone number? *
How did you learn about this program?  *
This program hosts a diverse array of weekly virtual workshops to support your ability to successfully cultivate positive self-worth and build internal confidence. Are you able to commit to attending the weekly meetings?  *
What outcomes are you looking to gain from participation in this program?  *
This program requires the ability to practice inclusivity in thought and remain open to vulnerable dialogue. This program has a strict confidentiality requirement for any personal information discussed within the cohort for all participants before, during, and after program involvement. Do you agree to these terms?    *
*UNDER 18 PARTICIPANTS ONLY*
This program requires strict confidentiality for personal identifying information such as first/last names, school names, birthdays, or any related applicable personal information that may arise in an open forum. We allow one parent or guardian to participate in this program as a secondary participant. We request that any parent or guardian who attends the program be held to all of the rules and standards of conduct as the primary participant. Do you agree to these terms? 
 *
*UNDER 18 PARTICIPANTS ONLY*
If you are the parent or guardian, or have opted to provide your parent or guardian contact information, please include: 
First and Last Name 
Phone Number 
Email
Thank you for taking the time to submit this form! A member of the Smart Girls Only team will review your submission and follow up with you via email within 48 to 72 hours. Do you have any additional questions about the program?  *
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