JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lois's Kids Digital Participant Application
Thank you for joining our Youth Mentoring program for girls ages 8-14. We are excited to lead. Please be sure to purchase the book. The CONFIDENCE CODE FOR GIRLS. Which will serve as our guide in our monthly workshops. All workshops are held MONTHY on Saturday from 11-12. Be sure to mark your calendar. We have virtual options as well.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Age
*
Your answer
Gendar
*
Female
Male
Prefer not to say
Other:
Full Address
*
Street, City/State Zip Code
Your answer
Phone number
*
Your answer
Name of School Currently Attending
*
Your answer
Email address
*
Please share the email address you check the most
Your answer
Please select all areas of interest that interest YOU
*
Cooking
Arts and Crafts
Jewelry Making
Sewing
Money Management
Social Media
Entrepenuership
STEM( Science Technology, Engineering and Math
Music
Health and Body Image
Field trips
Other:
Required
Guardian/Authorized Signature
*
As a parent or guardian, you authorize permission for your child to participate in Lois's Kids activities
Your answer
Guardian Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
