Girl Empowerment Series
I am excited that you have decided to participate in the Girl Empowerment Series. I look forward to working with you to build confidence, self-love and so much more over the next several months.

I  want to learn a little about you as I prepare activities for our group meetings. Please complete this short questionnaire.
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Email *
First and Last Name. *
Date of Birth *
Age *
Grade  *
County where you live? *
Emergency Contact: Name, Number, Relationship *
Hobbies, Interests & Talents
Check all that apply.
Which session are you most interested in attending. *
Please indicate any of the following conditions. Check all that apply.
Allergies or other relevant medical information.
Do you have permission to be photographed in group pictures that may appear on social media?
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Any questions regarding the sessions or overall series?
Is there anything else you would like to share about yourself?
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