Girls Rites of Passage Registration Form - Mon 8/2, Tues 8/4 and Fri 8/6
Welcome to the Girls Rites of Passage presented by the Earthlodge Center for Transformation! We are so excited to have you. Please answer the following questions so we can create the best programming possible for you.
Sign in to Google to save your progress. Learn more
Email *
Name of Youth *
Parent or Guardian Name *
Full Address, Zip *
Phone Number *
Email Address *
Emergency Contact - Name and Phone Number *
Age *
Ethnicity *
Gender Identity *
What interests you about the program? (1-5 sentences) *
Will you be able to attend the full week of the program? If not, which days will you miss? *
Do you or your youth have any food allergies? Please specify. *
Do you or your youth have any mobility issues or access needs? Please specify. *
Please keep a lookout for our Media Release Form, which will be required in order to attend the program. Thank you and we cannot wait to see you at the Earthlodge!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Sparkle Path. Report Abuse