Girls Living the Dream Mentorship Registration

GLTD Registration Form

"I am strong. I am beautiful. I can change my life. I can change the world. I will follow my DREAMS."
Welcome to Girls Living the Dream registration! All sessions will be held on Saturdays from 11am-1:30pm CST. Please select the session(s) of their choice and get them registered, we're excited to meet them!

In Person 3rd Quarter Sessions:
Eastwood Community Baptist Church
207 Upland San Antonio, TX 78220

GLTD Contact Information:

Facilitator/Founder: Nichole Holloway

Email: GirlsLivingTD@gmail.com

For more information, visit us at:

www.queeninginmypurpose.com
Parent Name

First Name Last Name
GLTD Participant Name

First Name Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Participant Birthday

Month Day Year
Date
GLTD Participant Age (8-13)
GLTD Participant School Grade Level
Please select the program(s) you'd like to register your young lady for below (you are able to register for more than one program at a time)

07/17 Girl Talk: Beauty 08/21 Girl Talk: Ways to Communicate 09/18 Girl Talk: Culture is Everywhere
Thank You,

Nichole Holloway

Founder of Girls Living the Dream
Should be Empty:

GLTD Registration Form