#100GirlsLeading's Summer Drop-In Sessions
Registration for #100GirlsLeading
Dates for each session


July 15th Friday 6-8pm
July 23rd Saturday 1-3pm


Address: Dream Suite Collective 1846 Barnum Ave, Bpt, CT


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Email *
Daughter First Name: *
Daughter Last name: *
How old is your daughter? *
Parents First Name *
Parents Last Name *
What is your daughter's ethnicity? *
Parents Cell Phone number *
Daughters Cell Phone number (if they have one) *
Parents Active Email address *
Are you currently in school? If yes, what school do you attend? *
Please provide your social media handles: ex @100girlsleading *
Why do you want to participate in our #100Girlsleading Summer Drop-In Sessions? *
What are so fun activities you would like #100Girlsleading to bring to each drop in session? *
I Do understand that this event is IN-PERSON  and I have the choice of wearing my mask and follow COVID rules for "Drop In Sessions" session? *
I Do understand that this  IN-PERSON  event will have pictures taken of my child while participating. I give permission for my child's pictures to be taken  for "Vision Board " session and used on #100GirlsLeading social media and website. *
I am the parent/guardian of this child and will pick them up after event. ( fill in name of guardian that will pick up child). Due to COVID capacity parents can not wait for child to be is done with event in the building but can come after each session to pick my daughter up. *
Snacks will be provided by #100GirlsLeading.. my child is allergic to? *
A copy of your responses will be emailed to the address you provided.
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