New Member Application: 1st - 8th Grade Girls (2020/2021 School Year)
If you have multiple girls, please fill out a separate form for each girl you want to register. If your girl is already a Girls Inc. girl, please return to the website and complete the Registration Form for returning girls.
Has your daughter attended Girls Inc. programs before?
No, never
Yes, at her school
Yes, at the center (if you answered yes here, please return to the website and complete the form for Returning Girls)
Clear selection
Girl/Participant First Name
Your answer
Girl/Participant Last Name
Your answer
Nickname/Preferred Name
Your answer
Phonetic Spelling
Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Age
Your answer
Gender
Your answer
How did you hear about us?
Choose
Walk-in
Driving by
Newspaper
Friend/Family
School/Teacher
Website
Presentation
Another Girls Inc. member
Mailing/Flyer
Other
Home Address (please include city, state and zipcode)
Your answer
Phone Number
Your answer
Phone Type
Choose
Home
Parent Cell
Girl/Participant
Girl email (if applicable)
Your answer
Girl Race
Your answer
Girl Ethnicity
Your answer
Girl Primary Language
Your answer
Primary Language spoken at home
Your answer
Shirt size
Choose
XS
S
M
L
XL
XXL
Shirt Size Type
Choose
Adult size
Youth size
Can your girl/participant swim?
Choose
Yes
No
Does your girl/participant qualify for Free and Reduced Lunch?
Choose
Yes
No
Grade Level for 2020-2021 School Year
Choose
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
School Name
Your answer
Student ID Number
Your answer
Disabilities (select all that apply)
None
Learning Disability
Physical Disability
Other:
Please describe your girl's needs based on the items you checked above
Your answer
Please list the names and grades of any additional family members enrolled in Girls Inc. programs
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
