Girls Inc. of Delaware Membership Form

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This form is used for Membership Registration and Program Registration.

This form will adjust for your needs!

If you are, or if you have a girl who would like to participate in Girls Inc of Delaware programming, memberhip is required.

What is the Girls Inc. Membership Experience?
Joining Girls Inc. of Delaware means being supported, inspired, and empowered. Members gain access to enriching events, meaningful mentorship, and a safe, encouraging environment to learn, lead, and thrive.

Who Can Join?
Kindergarten through post-secondary students (ages 5-24).

Why Join?
• Build leadership skills
• Discover strengths and new skills
• Be yourself without judgment
• Access scholarships and trips
• Form lifelong friendships and sisterhood

Membership is FREE—join today!
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Are you or is your girl already a Girls Inc of Delaware Member?* This field is required.
Yes
No
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Would you like to enroll your girl in an Out of School Time program (not required for membership)* This field is required.
Yes
No
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At Girls Inc. of Delaware, we inspire girls to be Strong, Smart, and Bold™. Our Out-of-School Time (OST) programs are free for families and take place at our Wilmington Center on Saturdays, with extended opportunities during school breaks and summer.

Through the Girls Inc. Experience, our professionally trained staff and volunteers provide mentorship, safe spaces, and programs that address the unique challenges girls face and are proven to help girls succeed.

Find the right program for your girl!

Bold Beginnings (K–3rd Grades)
Schedule: 2nd Saturday of each month • November 8, 2025 – May 9, 2026 • 9:30 AM – 2:30 PM
Summer Session: Smart Start Academy • July 6 – August 14, 2026 • 8:30 AM - 4:30 PM

Overview:
Bold Beginnings introduces girls in kindergarten through 3rd grade to the joy of reading, problem-solving, and healthy living. Through storytelling, creative writing, active play, and wellness activities, girls strengthen early literacy and numeracy while practicing fairness, kindness, and teamwork. The program builds confidence, emotional intelligence, and respect, setting the foundation for lifelong learning and leadership

Bright Futures (4th–5th Grades)
Schedule: 2nd Saturday of each month • November 8, 2025 – May 9, 2026 • 9:30 AM – 2:30 PM
Summer Session: Smart Start Academy • July 6 – August 14, 2026 • 8:30 AM - 4:30 PM

Overview:
Bright Futures helps 4th–5th grade girls strengthen critical thinking, problem-solving, and financial literacy while building leadership and teamwork. Through STEM inquiry, creative budgeting activities, and collaborative projects, girls learn to persevere, communicate ideas, and use knowledge and creativity to solve real-world challenges

She Leads (6th–8th Grades)
Schedule: 3rd Saturday of each month • November 15, 2025 – June 20, 2026 • 10:00 AM – 2:00 PM
Spring Break Session: Sporting Chance • April 6 – April 10, 2026
Summer Session: Bold Camp • July 6 – July 16, 2026

Overview:
She Leads empowers middle school girls to build resilience, leadership, and advocacy skills. Girls analyze media messages, practice self-advocacy, and design campaigns addressing real issues in their schools and communities. Through sports, wellness workshops, and Project BOLD self-defense training, girls strengthen decision-making, empathy, and integrity while learning to lead with courage

Project Dream Bold (9th–10th Grades)
Schedule: One Saturday each month (Nov. 2025 – June 2026) • 10:00 AM – 2:00 PM

Overview:
Project Dream Bold introduces high school girls to early career exploration with a foundation in STEM and AI literacy. Participants engage in leadership and advocacy projects, hear from guest speakers, and take experiential trips to Dover and Washington, D.C. The program culminates in a capstone experience that showcases their growth in leadership and vision for the future.

Project Accelerate (11th–College, Ages 16–24)
Schedule: One Saturday each month (Nov. 2025 – June. 2026) • 10:00 AM – 2:00 PM

Overview:
Project Accelerate prepares older teens and young women for college and workforce success. Participants gain advanced workforce development skills, practice networking and interviewing, and receive 1:1 mentorship. Enrichment includes guest speakers and trips to Dover and Washington, D.C., ensuring girls graduate ready to pursue their academic, career, and leadership goals.

All programs will take place at the Girls Inc of Delaware Dennision Center located at 1201 North Orange Street, Suite 100, Wilmington, Delaware 19801
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Pick Program For EnrollmentPick multiple if enrolling more than 1 girl
Bold Beginnings (K-3rd)
Bright Futures (4th-5th)
She Leads (6th-8th)
Project Dream Bold (9th-10th)
Project Accelerate (11th-12th)
Project Accelerate (College)
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Girl Name* This field is required.
First Name
Last Name
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Date of Birth* This field is required.
mm/dd/yyyy
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Age* This field is required.
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School Attending* This field is required.
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Grade currently enrolled* This field is required.
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Participant Challenges* This field is required.
Emotional
Learning
Visual
Hearing
Mobility
Developmental
ADD
ADHD
IEP
Physical
N/A
Other
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If so, explainN/A if not applicable
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Allergies?* This field is required.N/A if not applicable
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You can enroll up to (3) girls per household. If you have more than one girl you would like to enroll, use the next fields. If not, skip to the next section.
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Girl Name #2
First Name
Last Name
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Date of Birth* This field is required.N/A if not applicable
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Age* This field is required.N/A if not applicable
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School Attending* This field is required.N/A if not applicable
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Grade currently enrolled* This field is required.
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Allergies?* This field is required.N/A if not applicable
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Allergies?N/A if not applicable
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Participant Challenges* This field is required.
Emotional
Learning
Visual
Hearing
Mobility
Developmental
ADD
ADHD
IEP
Physical
N/A
Other
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Girl Name #3 N/A if not applicable
First Name
Last Name
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Date of BirthN/A if not applicable
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AgeN/A if not applicable
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School AttendingN/A if not applicable
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Grade currently enrolledN/A if not applicable
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Participant Challenges
Emotional
Learning
Visual
Hearing
Mobility
Developmental
ADD
ADHD
IEP
Physical
N/A
Other
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Street Address* This field is required.
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Apt
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City* This field is required.
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State* This field is required.
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Zip* This field is required.
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Mother/Guardian Name* This field is required.
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Cell* This field is required.
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Mother/Guardian Email Addresses* This field is required.
example@example.com
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Employer
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Work Number
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Father/Guardian Name
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Cell
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Employer
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Work Number
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In the event of an accident/emergency or injury occurs to a girl during program session(s), staff will take the necessary action to protect each girl from further harm. If care is not required by the ER it is our policy to contact parent(s). If the parent is not reached, the staff will call the emergency contact person listed below.
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Authorized Emergency Contact & Pick-Up List

In addition to the parent/guardian, all individuals listed below are authorized to pick my child up after school.
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Emergency Contact #1* This field is required.
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Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
Please enter a valid phone number.
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Relationship to Child* This field is required.
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Emergency Contact #2* This field is required.
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Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
Please enter a valid phone number.
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Relationship to Child* This field is required.
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Demographic Information:

The following is optional but will help us gain a better understanding of your girl and how we can support her. Please help us by filling in the following questions:
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Race/Ethnicity
African American
Cacausian
Hispanic
Asian American
Native American
Multi-Cultural
Other
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Family Income Status
Under $10,000
$10,000 - $14,999
$15,000 - $19,999
$20,000 - $24,999
$25,000 - $29,999
$30,000 and over
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Treatment/Emergency Care

I hereby grant permission to the emergency care physician and/or Girls Inc. of Delaware staff to order an x-ray, routine tests, and treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by Girls Inc. of Delaware supervisor to secure and administer treatment, including hospitalization, for the person/s named above.
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Initial Here* This field is required.
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Administration of First Aid

I give Girls Inc. of Delaware permission to administer basic first aid to my child when needed. I understand that I will be informed in any given situation that my child is ill or injured before picking them up from the program.
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Initial Here* This field is required.
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Field Trip/Transportation

Girls Inc. of Delaware has permission to take my child on all pre-arranged field trips indicated as part of the Girls Inc. After School Program.
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Initial Here* This field is required.
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Media/Movie Release

I give Girls Inc. of Delaware permission for my child to be photographed/videotaped or interviewed for promotional purposes while at the center, during events, field trips, etc.

I also grant permission for my child to view age-appropriate movies as part of the GIDE activities/program.
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Initial Here* This field is required.
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Sunscreen Release

I give Girls Inc. of Delaware permission to apply sunscreen provided by me or from the Girls Inc. supplies during programs.
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Initial Here* This field is required.
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Informed Consent

I understand that the Girl Inc. of Delaware activities have inherent risks and I hereby assume all risks and hazards incident to my daughter's (and family's) participation in Girls Inc. of Delaware activities. I further waive, release, absolve, indemnify, and agree to hold harmless Girls Inc. of Delaware, the organizers, volunteers, supervisors, officers, directors, participants, as well as persons or parents transporting participants to and from activities from any claims or injury sustained during participation and/or use of Girls Inc. property.
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Initial Here* This field is required.
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Girls are entitled to a pleasant and harmonious environment at the program centers, therefore girls who participate in all programs must abide by the Girls Inc. Agreement.

1. I will be respectful of other people.

2. I will be a good citizen and keep my hands and feet to myself.

3. I will be aware of others' feelings and treat them with courtesy and kindness.

4. I will use appropriate language at all times.

5. I will tell the truth.

6. I will use good manners.

7. I will listen carefully and speak clearly.

8. I will put away my things in their proper place and clean up after myself.

9. I will be respectful of others' property and Girls Inc.'s property.

10. I will remain with my group at Girls Inc. at all times unless I ask permission to leave and I am given permission to do so.

11. I will follow all rules when riding in the van or bus (for field trips).

12. I will keep all electronic devices in my book bag and will not use it while I am at Girls Inc.

13. I will assist in keeping Girls Inc. a bully-free, safe zone.
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Expectation Policy

I certify that my daughter is in good health and is amiable to the normal discipline necessary for the success of the group experience. I have reviewed and discussed with my daughter the Girls Inc. of Delaware Expectation Policy. We agree to honor the expectation policies of Girls Inc. of Delaware and understand that it is at the discretion of the Program Director to suspend or dismiss from the program due to inappropriate behavior.
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Initial Here* This field is required.
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Staff members are trained to creatively work with children and teach them effective ways of expressing themselves and sharing their feelings with others. However, behavior issues can and do occur. In this case, the following steps will be adhered to with each child.

1. Staff member reminds the member of the agreement which has been broken.

2. Staff members will discuss the agreement a second time with the child and warn against being removed from the activity/area.

3.The child will be given an age-appropriate time to remain out of the activity/area (one minute for every year of age

4. If a second removal is required for the child in a single day, a behavior report will be written by the staff member interacting with the child. This report will be given to the parent or guardian at pick- up to read and sign. The parent or guardian may receive a copy of the report as well. The report will then be filed into the child's enrollment file.

5. Suspension will depend on the severity of the situation and the behavior that has occurred on any given day.

6. The length of the suspension will be at the discretion of the Program Director.

7.Increased behavior incidents will result in a meeting with the Program Director, the child's instructor, and the child's parent or guardian.

8. Finally, if the behavior cannot be corrected through these steps, the child may be asked to leave the program.

** If at any time a child leaves the program area and/or tries to physically leave the building without permission, it will result in an automatic suspension

** Please note that if the incident is serious and causes injury or threat to the safety or well-being of other children or staff, the child may be suspended or discharged immediately at the discretion of the Program Director.
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Parent Name* This field is required.
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Parent Signature* This field is required.
Clear
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Date* This field is required.
Date
Month
Day
Year
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Finalize application by clicking submit!
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