Course Registration Form

Flourishing Girls Journey

Registration Form
Mum's Name

First NameMiddle NameLast Name
Mum's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mum's E-mail Address
example@example.com
Daughter's Name

First NameMiddle NameLast Name
Daughter's Date of Birth

MonthDayYear
Any information we need to know about your daughter
Which Flourishing Girls Journey are you registering for?
If the current offerings are not suitable, or registering for future events, please indicate which option would suit you best
I agree to pay the full amount of $460 one week prior to the starting date of the Flourishing Girls Journey that my daughter and I are registered to attend.
I agree that if a session is cancelled due to unforseen circumstances, the facilitator will explore all avenues possible to reschedule at a time that is suitable, and if this is not possible, there will be no refund available.
Should be Empty:

Flourishing Girls Journey