Registration
Thank you for your interest in Girls Lobby! We look forward to taking power and giving back with you this legislative session.

Program: Girls Lobby's 2020 Legislative Program runs for eight weeks during late January to Mid-March.

You will be required to attend weekly Cohort Meetings. Weekly Cohort Meetings will take place over Zoom, a video-chat platform that will serve as our electronic classroom. You will attend either the Tuesday, Wednesday, or Thursday evenings from 7-8pm throughout the course of the program. You will indicate which evening you will consistently attend throughout the program on the form below; once input, this information is final.

You will be required to attend two Saturday events at the Utah State Capitol, one in early January and one in early March. You will be required to provide your own transportation to and from the Utah State Capitol. Parents are encouraged to attend both events at the Utah State Capitol.

Cost: The registration fee is $20. A check may be mailed to P.O. Box 1082 in Provo, UT 84603. You may also pay by using the "Donate" button on the "Donate" page of our website. If you would like to request a full scholarship, please email us at girlslobbyorg@gmail.com.

Feel free to email girlslobbyorg@gmail.com if you have any further questions or concerns.
Sign in to Google to save your progress. Learn more
Full Name *
Date of Birth (MM/DD/YY) *
Email: *
Personal Cell: *
High School Name *
T-Shirt Size *
How did you hear about Girls Lobby?
Why are you interested in joining Girls Lobby?
Which issues are you most interested in learning about this Legislative Session? *
Cohorts meet via a Zoom meeting from 7-8pm one night per week. Please indicate whether you'd prefer to participate in a Tuesday, Wednesday, or Thursday cohort: *
By typing my name below, I agree to attend all weekly Girls Lobby meetings on Zoom (a secure electronic classroom). I also consent to receive texts and emails from Girls Lobby. *
Name of Legal Guardian *
Email of Legal Guardian *
Cell Phone of Legal Guardian *
I understand that I, the legal parent or guardian of the above noted Girls Lobby participant, am solely responsible for my child's education. I have reviewed the curriculum in full and consent to their participation in the Girls Lobby program (and all that it entails: participation in anonymous surveys measuring impact, the creation of promotional videos, etc.) from January 1st to March 31st 2020. My signature typed below certifies my understanding of and agreement with the above statements. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TheWhiteleyFamily.com. Report Abuse
Google Forms