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Girl Empowerment Inc.

Building hopes and dreams for girls one day at a time.

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GIRL SIGN UP FORM

Please note: For verification purposes. A most recent school id will need to be uploaded below. If you are unable to upload. No worries we will make copies at our open house. October 1st, 2022

Upload File

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What school do you attend? What is your guidance counselor name?

Girl First Name

Last Name

Email

Phone

What's your favorite thing in the world? Rather it's Food, Places, People, Or All the above. Why? Please answer.

What makes you a Girl Boss? and Why Do you want to Join Us?

Parent / Guardian Name

Parent / Guardian Name

Email

Email

Phone

Phone

PARENTS AND GIRL ADDRESS

PARENTS AND GIRL ADDRESS

Select a date

Thanks for registering. We will reach out to you soon!

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