Fall 2020 Registration Form - For NEW 1st

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Fall 2020 Registration Form - For NEW 1st - 8th Grade Girls

If you have multiple girls, please fill out a separate form for each girl you want to register. If your girl is a;ready a Girls Inc. girl, please return to the website and complete the Registration Form for returning girls.

This form allows you to register for REMOTE programs (starting Sept 8th), IN-PERSON programs (Date TBD) and to let us know what academic support your girl needs so that we can create the best programming possible for Fall 2020.

Has your daughter attended Girls Inc. programs before?

No, never

Yes, at her school

Yes, at the center (if you answered yes here, please return to the website and complete the form for returning girls)

Clear selection

Girl/Participant First Name

Girl/Participant Last Name

Nickname/Preferred Name

Phonetic Spelling

Date of Birth

YYYY

Current Age

Gender

How did you hear about us?

Home Address (please include city, state and zipcode)

Phone Number

Phone Type

Girl email (if applicable)

Girl Race

Girl Ethnicity

Girl Primary Language

Primary Language spoken at home

Shirt size

Shirt Size Type

Can your girl/participant swim?

Does your girl/participant qualify for Free and Reduced Lunch?

Grade Level for 2020-2021 School Year

School Name

Student ID Number

Disabilities (select all that apply)

None

Learning Disability

Physical Disability

Other:

Please describe your girl's needs based on the items you checked above

Please list the names and grades of any additional family members enrolled in Girls Inc. programs

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