Sports Registration

Sports Registration
IMPORTANT: Please call a Girls Inc. of Fort Smith Representative to be sure that we are currently taking registration for the sport you are signing up for BEFORE submitting this registration. Our phone number is 479.782.0375.
2024 MEMBERSHIP RENEWAL REQUIRED

To register for sports, 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 transportation 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
School
Grade *
Child's Shirt Size*
Best Contact Number*
Please enter a valid phone number.
Primary Guardian Information
Primary Guardian's Name*

First NameLast Name
Primary Guardian's Relationship*
Primary Guardian's Phone Number*
Please enter a valid phone number.
Primary Guardian's Email*
example@example.com
Primary Guardian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Guardian's Employer
Primary Guardian's Employer Phone
Secondary Guardian Information
Secondary Guardian's Name

First NameLast Name
Secondary Guardian's Relationship
Secondary Guardian's Phone Number
Please enter a valid phone number.
Secondary Guardian's Email
example@example.com
Secondary Guardian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Guardian's Employer
Secondary Guardian's Employer Phone
Additional Emergency Contact

Other than guardian(s) listed above
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Relationship
Registration & Payment
Registering For
Registering For:*

BasketballDance
Returning From the Previous Year?*

YesNo
Returning Team
If you are returning from a previous year, please indicate from which team. We will do our best to honor requests.
Shirt Size*
This will be your member's team uniform
Parent/Guardian Signature*

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Date Signed*

MonthDayYear
Date
Pay Now*
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Sports Registration Fee
$30.00

Sports PassGate admission for all season games (one per attendee)
$15.00 Quantity

Total

$0.00
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Sports Registration

Student Information

Primary Guardian Information

Secondary Guardian Information

Additional Emergency Contact

Registration & Payment