Summer Day Program Registration (Weekly)

Summer Day Program Registration

June 5 - July 28, 2023 • 7:30 AM - 5:30 PM
To register for the summer day program, all girls must have a current Girls, Inc. annual membership. If needed, you can complete membership registration here. All services and any outstanding balances must be paid in full before the activity start date.
Student Information
Student Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Birthdate*

MonthDayYear
Date
Grade Entering *
Primary Guardian Information
Primary Guardian's Name*

First NameLast Name
Primary Guardian's Email*
example@example.com
Primary Guardian's Number*
Please enter a valid phone number.
Summer Day Program Fees

All program fees are non-refundable and must be paid in full at the time of registration. Enrollment may be limited. Registrations will be taken in the order received.
The summer day program is $25 per week. You may add multiple weeks to your cart as needed to cover your student's attendance.

Scholarship applications are available upon request and are made possible by the CDBG Fund. To qualify, you must be a Fort Smith resident & meet certain requirements. Contact us for more information.
Pay Now*
prevnext( X )
Girls, Inc. Summer Day Program (Weekly)Select as many weeks as needed to cover your student's attendance
$25.00 Weeks

Total

$0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Summer Day Program Registration

Student Information

Primary Guardian Information

Summer Day Program Fees