Little Beauty's Book Club

Little Beauty's Book Club
Little Beauty's Book Club

Reading and comprehension are critical life skills that allow young girls to grow up and become productive and confident women. This is one of the many reasons why Beautiful As I Am has set up its very own Little Beauty’s Book Club. It serves as a haven free from the chaos, stereotypes, and misconceptions in the world. It’s an avenue for self-expression without reproach which is needed for young girls. We believe that creating an environment where their questions, opinions and views are validated improving their confidence at a young age.

Little Beauty's Book Club is deeply rooted in the foundation of eloquence, public speaking, and confidence while giving girls positive images about their diverse body types. This program, like many others is aimed at empowering young girl’s and women to achieve the impossible. It’s all about motivation, inspiration, and perspectives in a place of comfort to aid their innovation and intuition as well.

When: 3rd Saturday of every month
Where: In Person
Age: 4-11
Little Beauty's Personal Information
Little Beauty's Full Name*

First NameLast Name
Age*
Birth date*

MonthDayYear
Date
Black/African AmericanHispanicWhiteAsianOther
Parent/Guardian Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact Information
Emergency Contact 1*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Little Beauty
Emergency Contact 2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Little Beauty

Parental/Guardian Questionnaire

Please respond as thoroughly as you can to the following questions. This information will help us provide your child with the appropriate support.
School Name*
Little Beauty's Favorite subjects
YesNo
Little Beauty's Reading Level
Please specify areas in which you believe your Little Beauty needs help with reading and comprehension.*
YesNo
YesNo
How frequently does your Little Beauty read outside the classroom ?

Permissions & Agreements

Please review and agree to the following statements.
"I hereby grant permission for Beautiful As I Am Inc. to make contact with my child and conduct a personal interview for the purpose of applying to be a mentee. Furthermore, I understand that basic information about my child will be anonymously (without names) shared with a prospective mentor(s) to aid in determining a suitable match. Once a mentor/mentee match is determined, myself, my child's identity, and other relevant information will be shared with the mentor to the extent that it aids in facilitating a successful match."*

YesNo
Attendance Policy Agreement

Commitment Attendance Policy: If I register for program services but fail to attend three times without prior notice, I will be removed from the program and placed on a waiting list. Re-enrollment will be subject to availability and program requirements.

No-Show Fee: If I register but am unable to attend, I will kindly provide at least 24 hours notice. If I forget to do so, a $10 fee will be applied to cover my reserved spot. I agree to settle this fee before I can book any future programs.
YesNo
Signature*
Date

MonthDayYear
Date
Should be Empty:

Little Beauty's Book Club

Little Beauty's Personal Information

Emergency Contact Information

Parental/Guardian Questionnaire

Permissions & Agreements