2019 GRIT Middle School Spring Break Registration Form
2019 GRIT Middle School Spring Break Program:
Monday, March 25th - Friday, March 29th, 2019, 9:00am-5:00pm
Open to girls and non-binary and gender-diverse youth in grades 6-8!

The GRIT middle school program is a 5-day camp offered during spring break, March 25th-29th. Throughout the week, participants will learn basic skills and complete personal projects in carpentry, welding, and bike mechanics - as well as visit a local job site, tinker with small engines, take a comedy workshop, swim, and generally have fun! In all activities, we will emphasize the importance of working together, identifying one’s personal strengths, setting and reaching goals, and forming positive friendships.

We will accept 12 participants. We ask youth to attend all 5 days of the program. Lunch and snacks will be provided.
Registration forms (including any payment) are due Monday, March 18th, 2019.

Registrations can be submitted online, dropped off, emailed, or faxed to:
YWCA Missoula, 1130 W. Broadway, Missoula, MT 59802
phone: 406-543-6691 fax: 406-543-6777
sduncan@ywcaofmissoula.org

COST:
In an effort to make GRIT Camp accessible to everyone, we are accepting payments on a sliding scale based on ability to pay. When deciding how much to pay, please keep in mind: if each participant pays $100, then GRIT can cover costs for transportation, food, swim passes, and instructors to teach bike and small engine mechanics. You can choose to pay $100, or more, or less, or nothing. If you are financially capable, please consider paying more than $100 in order to help fund a participant who is unable to pay! No one will be turned away.

Feel free to call or email Sam with any questions.
phone: 406-543-6691 mobile: 567-230-2473 email: sduncan@ywcaofmissoula.org

GRIT aims to provide safe and encouraging learning spaces to youth who may feel intimidated or unwelcome in traditionally-male-dominated spaces. If your child does not identify as a girl, non-binary, or gender-diverse and want to participate, just email Sam: sduncan@ywcaofmissoula.org

It is the YWCA Missoula's policy to not discriminate against any persons based on race, physical or mental disability, religion, national origin, sex, age, creed, physical condition, sexual orientation, gender identity, or expression.

First name of participant: *
Your answer
Last name of participant: *
Your answer
Birthday: *
MM
/
DD
/
YYYY
Age and grade of participant: *
Your answer
School attending: *
Your answer
Gender:
Your answer
Gender pronouns you would like us to use at camp (she/her/hers, he/him/his, they/them/their, etc.)
Your answer
Ethnicity: *
Your answer
Participant email (if they have one) *
Your answer
Participant cell phone (if they have one) *
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/GUTS? *
Your answer
What does the student hope to get out of the GRIT program? Is there any trade they would like to learn more about? *
Your answer
Does the participant 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:
In an effort to make GRIT Camp accessible to everyone, we are accepting payments on a sliding scale based on ability to pay. When deciding how much to pay, please keep in mind: if each participant pays $100, then GRIT can cover costs for transportation, food, swim passes, and instructors to teach bike and small engine mechanics.

You can choose to pay $100, or more, or less, or nothing. If you are able, please consider paying more than $100 in order to help fund a participant who is unable to pay! No one will be turned away.

How much will you be paying for GRIT Camp? *
Your answer
GRIT Registration checklist:
Each participant will need to complete and turn in all of the following by March 18th, 2019.

1. Registration form (which you are currently completing)
2. Health History form
3. Waiver and release agreement
4. Payment (if applicable)

You can find and download the Health History form and Waiver and Release Agreement here:
https://drive.google.com/file/d/1BVCNsnKggAq2FaIC8n_jAe69poPkziSE/view?usp=sharing

You can pay via check, or pay online here: http://weblink.donorperfect.com/GRIT_Spring_Break
If paying by check, mail to address below and please put "GRIT Camp" in the memo line.

Forms and checks can be dropped off or mailed to:
YWCA Missoula, 1130 W. Broadway, Missoula, MT 59802

Feel free to call or email Sam with any questions.
sduncan@ywcaofmissoula.org
phone: 406-543-6691 mobile: 567-230-2473

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