Fall Semester: August 8-December 16 | 2-6 PM | Girls Inc. of Kingsport reserves the right to close for holidays, special events, or other incidences.

The following demographic data is used primarily by our national organization for statistical purposes. All information will be kept strictly confidential. Please be as accurate as possible, especially with regard to household income - we will ask for verification.

Payment arrangements are available upon request; see any member of management. 

Fall fees are due by Friday, September 9th.

Spring fees are due by Friday, February 10th.

 Transportation will not be provided after this date if membership fees are not paid in full.

Any additional child will recieve a 50% discount.

Payments can be made in person via cash or check. Card payments are accepted online. If paying with cash, correct change must be used. 

We can not offer refunds for fees under any circumstances.

Proof of income must be provided for all hosuehold.

We have a limited number of scholarships available. Please complete the Scholarship Form if additional assistance is needed.

1. As the parent or authorized guardian of this child, I give my permission for her to participate in Girls Inc. facility-based activities as well as local field trips, and to be transported by our facility and those contracted by our facility.
2. I understand and agree that she must be picked up by closing time or a late fee may be charged. I have reviewed and agree to uphold the conditions set by the organization for the payment of registration and program fees.
3. My child will respect other members, staff, and volunteers at all times and she and I will be responsible for any equipment or property she defaces or destroys.
4. I authorize Girls Inc. to use photographs of my child for promotional purposes to include newsletters, brochures, media releases, social media updates, website content, and all fundraising and marketing efforts. I understand that additional permission may be requested for the use of my child's likeness during special events and that any media content used may be publicly shared by supporters of the organization.
5. I authorize Girls Inc. to have a reciprocal relationship with her school, caseworker, or counselor regarding the release of information.
6. I authorize Girls Inc. of Kingsport staff members to give my child feminine hygiene products including but not limited to liners, pads, and tampons, and educate her about use of them when needed.
7. As parent or guardian of the aforementioned child, I approve her joining Girls Inc. of Kingsport and agree not to hold the organization, its Board of Trustees, officers, staff, or volunteers responsible and/or liable, and hereby release them from liability for losses of any personal property and for any injuries or accidents suffered by my child at Girls Incorporated facilities or in connection with membership participation in any program activities.
8. I also do hereby authorize Girls Inc. of Kingsport, its representatives, volunteers, and/or staff to obtain medical treatment necessary for my child in the event of the occurrence of an illness or accident while she is under the organization's supervision.

I certify that all information on this application is accurate and I have read and understand all information on it.