R.E.A.L Girlz Winter Registration
R.E.A.L Girlz is an Interactive & fun EMPOWERMENT group helping GIRLZ process the ups and downs of teen life and relationships through character & leadership development.

Our in person sessions is limited to eight (8) girls to maintain social distancing guidelines.
Session Dates: Saturdays- February 13, 2021 - April 3, 2021
Time:10:30 -12:00 noon
Phone: 804 466 1135
Address: 12801 Iron Bridge Rd Suite 100, Chester, VA 23831
Email address *
Parent Name *
Parent Email *
Parent Cell Phone *
Name of R.E.A.L Girlz *
School Attending *
Age *
Grade *
Are you currently participating or have participated in the past participated in a R.E.A.L Girlz session? *
If yes, where? *
Dietary Restrictions *
Please list any food allergies *
Shirt size ( Youth Sizes) *
Payment Information
The cost to attend R.E.A.L Girlz in person session is $200 for the entire eight weeks. This includes all materials and snacks. After completion of registration you will receive an email with an invoice and information on attending the virtual informational session. Current or past R.E.A.L Girlz participants will receive a $50 discount off of registration.

Due to limited amount of space registration is on a first come basis. Full registration must be paid in full by 2/5/21.

No REFUNDS after 2/12/21.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Flawless Imperfections LLC. Report Abuse