G.E.N. 2024 Registration Form 
Jared's Heart of Success Inc. & "S.H.E. Ministries Inc. 
Joint Community Partnership: "PROJECT G.E.N." Generations Empowered Now
Please fill out this form in its entirety. Incomplete applications will not be considered for
enrollment. If a question or section does not apply, do not leave the space blank; instead, please write.
“None” or “N/A”.

(Snacks will be provided at each session).

Event Address: 5160 Alcovy Rd NE Covington, GA 30014
Covington Housing Authority

Need more information. 
Contact Sharmaine Brown 
Executive Director
Jared's Heart of Success  (678-643-2292) or 678-643-3378 
Email: sharmaine@jaredsheartofsuccess.org

Contact Pamela Boudrey 
Executive Director 
SHE Ministries at (678-558-3524)
Email: pamela@sheministriesamerica.org

Two Sessions Weekly Tuesdays and Saturdays 
Spring Session - January 2024 - May 2024
Open to youth and adults 
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Email *
5160 Alcovy Rd NE Covington, GA 30014
Covington Housing Authority *
Participant  Full Name *
 Age *
Child  Full Name *
 Age *
Child  Full Name *
 Age *
Child  Full Name *
 Age *
Grade for 2023-2024 School year *
 Gender *
Parent /Guardian Name *
Telephone Number *
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