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
Gender
Address
Parent/Guardian Name

First NameLast Name
Parent/Guardian Number
Parent/Guardian E-mail
Child Email
example@example.com
Would you be interested in having your child participate in our zoom sessions?
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
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty:

Thrive Girls Inc Youth Enrollment