2018 GRIT Middle School Spring Break Registration Form
2018 GRIT Middle School Spring Break Program:
March 26th-30th, 2018, 9:00am-5:00pm
Open to girls* in grades 6th-8th

The GRIT middle school program is a 5-day camp offered during spring break, March 26th-30th. Throughout the week, girls will learn basic skills in carpentry, welding, heavy equipment, auto mechanics and electrical while also visiting local businesses and job sites to see those skills being turned into exciting, hands on and rewarding careers. We will also emphasize the importance of working together, identifying one’s personal strengths, setting and reaching goals and forming positive friendships.

We will accept 12 girls. We ask participants to attend all 5 days of the program. Lunch and snacks will be provided.

*Inclusion statement: Interested participants who identify with girlhood or womanhood are welcome to join GUTS! and GRIT programs. This includes participants who are transgender or are outside the gender binary and feel that GUTS!/GRIT could be beneficial or enjoyable to them.

Registration forms including payment are due Monday, March 19th, 2018
Checks should be made payable to the YWCA Missoula
Registrations can be submitted online, dropped off, emailed, or faxed to:
YWCA Missoula, 1130 W. Broadway, mhoyt@ywcaofmissoula.org
Feel free to call Margaret with any questions.
phone: 406-543-6691 fax: 406-543-6777 mobile:207-522-4638

Feel free to call Margaret with any questions.
phone: 406-543-6691 fax: 406-543-6777 mobile:207-522-4638

Name of participant: *
Your answer
Birthday: *
Your answer
Age and grade of participant: *
Your answer
Gender:
Your answer
Ethnicity: *
Your answer
Participant email (if they have one) *
Your answer
Participant cell phone (if they have one) *
Your answer
School attend: *
Your answer
Parent/Guardian #1 *
Your answer
Relationship to participant: *
Your answer
Address: *
Your answer
Best number to reach you at: *
Your answer
Email: *
Your answer
Parent/Guardian #2 *
Your answer
Relationship to participant: *
Your answer
Address: *
Your answer
Best number to reach you at: *
Your answer
Email: *
Your answer
Emergency contact: *
Your answer
Emergency contact relationship to participant: *
Your answer
Emergency contact phone number: *
Your answer
Have you participated in any YWCA GUTS! or GRIT programs before? If so, please list past groups or trips in which you participated: *
Your answer
Please explain any relevant health or medical issues including allergies: *
Your answer
How did you hear about GRIT? *
Your answer
What does the student hope to get out of the GRIT program? Is there any trade you would like to learn more about? *
Your answer
Do you have reliable transportation to the GRIT programs? GRIT camp is located at the Missoula College West- Industrial Technology Campus. *
Do you have any other concerns about participating in GRIT? *
Your answer
GRIT Registration and Program Fee:
The registration and program fee for GRIT’s middle school spring break program is a sliding scale between $25 and $125. GUTS! and GRIT wants to ensure that every girl is able to attend this program even if cost is an issue. Please pay what you are able to pay but remember scholarships are available to guarantee no girl is ever turned away.
*
Required
GRIT Registration checklist:
Each participant will need to complete and turn in all of the following by March 19th, 2018.

Registration form Health History form
Waiver and release agreement
Universal Adult Model Release
 GRIT has partnered with Arrowroot Productions to produce a short video highlighting GRIT. They may do some filming at this camp. Please complete the attached release to grant your permission or leave blank if you would prefer your daughter not to be filmed.

Registration forms including payment are due Monday, March 19th, 2018

Registrations can be submitted online, dropped off, emailed, or faxed to:
YWCA Missoula, 1130 W. Broadway, mhoyt@ywcaofmissoula.org
Checks should be made payable to the YWCA Missoula

Feel free to call Margaret with any questions.
phone: 406-543-6691 fax: 406-543-6777 mobile:207-522-4638

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