HGSW Summer Experience 2017 (Participant Form)
Registration for the 2017 HGSW Summer Experience

HGSW Supporters,

We are so excited to announce that the 2017 Healthy Girls Save the World Summer Experience will be held at the University of North Carolina at Chapel Hill from June 12th - June 16th.

In alignment with our program model, HGSW will accept 45-50 girls in rising 6th-9th grades. Parents must fill out the registration form directly below. The application is due by midnight on Sunday, April 23rd.

This year there is a $70 program fee to offset certain costs, which will be paid upon formal acceptance to the program. Scholarships and decreased payment opportunities are available. Please note that lunch is provided during the Summer Experience.

We are so excited for June and we can’t wait to get started!

-HGSW Team

Email address
Participant's Name
Your answer
Rising Grade Level
HGSW will accept girls in rising 6th-9th grades
Your answer
School
Your answer
Allergies
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email
Your answer
Dietary Needs/Restrictions
Your answer
Medical Needs/Restrictions
Your answer
The Summer Experience Runs June 12th - June 16th. Will your daughter/participant be able to attend all days? List any and all conflicts.
Your answer
My daughter/participant understands that HGSW is a 100% bully-free zone
I understand that I will be contacted by or before April 30th with the status of my HGSW registration, and if accepted I will be required to pay a fee, up to $70 based upon household income level
I would like to apply for a HGSW scholarship to cover my participant's fee cost
Would you be willing to attend a HGSW Summer Experience Graduation on the last day of the camp?
How did you hear about HGSW?
Your answer
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