Hygiene Care Package
Please complete this form to be eligible to pick-up a Girls Inc. of Chicago Hygiene Care package.
Email address *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Phone Number *
Your answer
Home Address (Include City, State, and Zip Code) *
Your answer
Number of Girls Inc. Participants in the Girls Inc. Program *
Girls Inc. Participant Name (Your Girl(s) name) *
Your answer
Select the Girls Inc. Program that your girl (s) Attends *
Required
How old is your girl? *
Required
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