For Girls Like Me Registration Form
First Name
Last Name
Email
Phone Number
Address
Date of Birth
Grade Level
School Name
Hobbies and Interests
Full Name of Parent/Guardian
Relationship to Participant
Contact Phone Number:
Emergency Contact Email
Emergency Contact Information
Reason for Joining
Goals and Expectations
Previous Experience
Allergies or Dietary Restrictions
Medical Conditions
*Permission for Medical Treatment:
Photo and Video Consent:
Transportation Arrangements
Availability
Additional Information
Submit
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