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Registration Form - Just Like a Girl Health & Wellness Program
The goal of this virtual program is to empower young girls to develop an interest in sports, gain confidence and lead healthy, active lives. We will deliver weekly sessions of any one of the following lead by qualified instructors:
- yoga sessions
- online sports/conditioning sessions
- arts/crafts
- mental health sessions
- nutritional coaching

The program will run for 12 weeks with the possibility of extension. The schedule of programming will be updated on a monthly basis and delivered by email to the parent/guardian.

This program is open to girls, or those identifying as girls, from ages 5 to 15 years old.

Day and time of sessions – Saturdays, between 11 am - 12:30 am (Session duration may be 30mins-1hour)
*Some sessions may be subject to change based on instructor availabilities; Parents/Guardians will be notified beforehand



Disclaimer:
By signing the form, Parents/Guardians give Just Like a Girl the permission to take photos, record the program sessions and use the photos for promotional purposes.

Just Like a Girl is not responsible for any ill effects, injuries or death caused by the child’s participation in the program. Parents/Guardians shall consult with their child’s health care professional for any restrictions that may inhibit the child from participating in the sessions.

We understand that certain mental health topics may trigger negative feelings and adverse reactions by the participants. We will provide the participants and their parents/guardians with notice on what topics will be covered in the mental health sessions as a warning. Participants do not need to attend the session if they do not wish to do so.
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Full name (participant): *
Age (participant): *
Parent/Guardian Name: *
Parent/Guardian that will oversee online sessions (If different from above):
Parent/Guardian Relationship to Child: *
Address: *
Participant Email (if applicable):
Parent/Guardian Email: *
Parent/Guardian Phone Number: *
Ethnicity (*This data is used for information purposes only) *
Required
Food Preference (*This info will be used to tailor the nutrition program to the participant’s needs) *
Required
Any other Dietary Restrictions?
Any Allergies?
Any thing else we should know about?
Submit
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