Girls Link Registration Form
Please complete the registration form below for the Girls Link workshop.

Time: 6:30 - 8:00pm, Thursdays from March 22 - May 24, 2018 (9 week, no workshop the week of April 5)
Place: The Bridge Community Space, 5553 Bloomfield Street, Halifax


Contact us at girlslink@juniorleagueofhalifax.org with any questions.

Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Participant's Age *
Your answer
School Participant is Enrolled At *
Your answer
Participant's Grade *
Your answer
Is there something specific we should know about the participant such as food allergies, dietary restrictions, medial concerns (use of an epi-pen, etc.), learning styles, etc.? *
Your answer
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's Phone Number *
Your answer
Parent/Guardian's Email Address *
Your answer
Emergency Contact (Name, Relationship to Participant, Phone Number) *
Your answer
How did you hear about Girls Link? *
Your answer
I give permission for my child's photo to be taken and appropriately used for promotion (social media, website) of the Girls Links program by the Junior League of Halifax. *
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