Girls Group Application Fall 2018 - Spring 2019
Hello! Thank you for filling out our application for all groups Fall 2018 - Spring 2019.
All information below will remain confidential.
Your contact information will only be used to create a group email for parents & guardians.
Youth information will only be used to create a group text, upon permission at the start of the group.
If once complete you still have questions, please indicate YES to a free 20 minute phone conversation so we can discuss, or email emily@loveyournature.com.
Thank you. We look forward to sharing this powerful journey with your family :)
Email address *
Parent / Guardian Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Address *
Your answer
Girl's Name *
Your answer
Girl's Grade Fall 2018 *
Your answer
Girl's Email
Your answer
Girl's Phone Number
Your answer
Yes, I understand the program, and our intention is to participate in all that we can. (Full details on website) *
Payment Method *
I would like to schedule a free 20 minute phone conversation upon review of my application. *
Please share any questions you may have, or information about your daughter and family that might be useful to us as their guides and as we consider your application. *
Your answer
Please list any special needs you would like us to know about.
Your answer
How did you hear about us? *
Your answer
THANK YOU!
We will get back to you as soon as we've had a chance to review your application.
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