Thrive Girls Inc Enrollment Form

Thrive Girls Inc Youth Enrollment

6-Week program
Student Name*

First NameLast Name
Student Age (13-18 years old) ACCEPTED :*
Student Birth Date*

MonthDayYear
MaleFemale
Address*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Number*
Parent/Guardian E-mail*
Child Email
example@example.com
Full RemoteHybrid (Yes)In person ONLY (No)
What are some specific things you would like Thrive Girls Inc to help your child with/improve in?
Why do you think Thrive Girls Inc would be a great fit for your child?
Today's Date

MonthDayYear
Date
Signature
Should be Empty:

Thrive Girls Inc Youth Enrollment