Girl Circle  Registration
This 8-10- Week  Program for girls ages 10- 13.  Young women gain the vital opportunity to address female definitions and behavior and build their capacities to find their innate value and create good lives, individually and collectively. Session 2 will begin on Wednesday,  January 8th, 2019, and will be held at our office, 42 W. 8th Street in Tracy at 3:30 pm.
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Email *
Date of Request
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Participants First Name *
Participants Last Name *
Has the Participant ever attended a Sow A Seed program?  (check all that apply) *
Required
Participant's Age (ages 10-13 only) *
Participant's Birth date (type in correct year) *
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Participant's School Name *
Participant's Currant Grade *
Home Address *
City *
If "Other" City, please list here
Zipcode *
Contact Phone Number   (ie. xxx-xxx-xxxx) *
Other Phone Number   (ie. xxx-xxx-xxxx)
I give permission for the participant listed above to Girl Circle.  I also waive, release and discharge all claims for personal and property damages arising from my child's participation *
Required
Parent/ Guardian Name ( First, Last) *
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