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?
Clear selection
Girl/Participant First Name
Girl/Participant Last Name
Nickname/Preferred Name
Phonetic Spelling
Date of Birth
MM
/
DD
/
YYYY
Current Age
Gender
How did you hear about us?
Home Address (please include city, state and zipcode)
Phone Number
Phone Type
Girl email (if applicable)
Girl Race
Girl Ethnicity
Girl Primary Language
Primary Language spoken at home
Shirt size
Shirt Size Type
Can your girl/participant swim?
Does your girl/participant qualify for Free and Reduced Lunch?
Grade Level for 2020-2021 School Year
School Name
Student ID Number
Disabilities (select all that apply)
Please describe your girl's needs based on the items you checked above
Please list the names and grades of any additional family members enrolled in Girls Inc. programs
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