God's Gift, Incorporated Registration Form
The God’s Gift, Inc. Mission is providing a healthy environment for girls ages 7-17,  providing mentoring programs, self esteem workshops, life skills, etiquette classes, college and career preparation, and most importantly helping women and girls to recognize their self worth.

As a signature program for God’s Gift, Inc., The G.I.R.L.S. Group Mentoring Program was designed to serve a fast-growing part of our community: elementary to high school girls living in Broward County, FL. The program addresses high-priority community concerns to prepare mentees for a smooth and successful transition into adulthood. The G.I.R.L.S. Group Mentoring Program (Girls In Life Situations) works with youth to improve self-esteem and confidence and explore the basic skills that are easily transferable to the workplace and everyday life.

Each month we will get together for a day of fun, laughter, learning and encouragement. There will be a different activity scheduled to help you become that strong young woman!

• Leadership Training
• Fund Raisers
• Grooming/Hygiene/Beauty tips
• Confidence Building
• Other Field Trips: museums, aquariums, parks…etc
• Volunteer Work
• College Visits/Tours
• Tutoring
• Team building Exercises

The skills you take from this program will enable you to be all that God wants you to be! We invite all girls ages
7-17 to come out and join us!

Just follow the instructions in this packet and you are on your way!!

Registration Fee: The registration fee is $100. Payment plans are available!

God’s Gift, Inc. Girls Meetings: We meet on the 2nd and 4th Saturday of each month, unless stated otherwise. It is strongly encouraged that you attend! We don't want you to miss anything!
Sign in to Google to save your progress. Learn more
Email Address *
Enrollment Type *
Participant Application (To Be Completed by the Parent/Guardian)
Name:
Street Address (City, State, Zip):
Date of birth?
MM
/
DD
/
YYYY
What is your age?
Ethnicity:
Clear selection
Name of School & Grade:
Parent/Guardian Name:
Relationship to Mentee:
Clear selection
Home Phone:
Work Phone:
Emergency Contact Name & Phone Number:
Is this a referral from the following organizations?
Clear selection
How did you hear about this organizations?
Clear selection
T-Shirt Size
Clear selection
Parent Questionnaire (To Be Completed by the Parent/Guardian)
Application Questions: Please answer all of the following questions as completely as possible.
Why do you/your child want to participate in a mentoring program?
Briefly describe your expectations for God’s Gift, Inc. & G.I.R.L.S. Group Mentoring Program:
Describe your child’s school performance including grades, homework, attendance, behaviors, etc.
Please describe his/her friendships.
Is your child currently having any problems either at home or school?                                                                                                                    
Has your child experienced any traumatic events (i.e., death in the family, abuse, divorce)? If yes,  please provide details.
Please check all activities your child is interested in: *
Required
IMPORTANT GUIDELINES
* Due to the nature of our organization, it is imperative that every member adhere to all guidelines set forth by God’s Gift, Inc.
Travel Authorization: ____________________ has my permission to travel under the supervision of God’s Gift, Inc. Team. I am aware that the above named child is expected to attend: Monthly meetings, Workshops, Community service, and Social Outings. *
Waiver of Liability: In consideration of your accepting this entry, for the God’s Gift, Inc. program, thereby for myself, my heirs, executor assigns and personal; representatives, waive and release any and all rights and claims for damages I now, or may hereafter have, whether now known or unknown, against God’s Gift, Inc. its employees, agents, and volunteer workers, for any injuries suffered by me in connection with participating in said program. God’s Gift, Inc. will not be responsible for the loss or theft of personal items. *
Required
Consent to Medical Care and Treatment of a Minor: The undersigned authorize all medical, surgical, diagnostic and hospital procedures as may be performed or prescribed by a treating physician of hospital for above named daughter if we cannot be reached in case of an emergency.Our consent includes, but is not limited to, administration of necessary anesthetics, medical treatment, tests, x-ray examinations, transfusions, injections, or drugs and the performing of whatever operations may be deemed necessary or advisable. Further, consent is granted to any such physician to exercise his/her discretion in authorizing the disposal of any severed tissue or member.It is understood this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required. This authorization shall remain in effect until revoked in writing by the undersigned, with notice to the treating physician and hospital, or until the undersigned void their signatures hereon. *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms