The Sophia Project Registration & Release 2025

Welcome to the Sophia Project Family!

Registration 2025-2026

The Sophia Project is delighted to announce that your daughter has been selected to participate in our program for the 2025-2026 school year. We carefully choose exceptional young girls who, while possessing great potential, may benefit from additional support in reaching their fullest capabilities.

Our program is thoughtfully designed to guide middle and high school young women through the transition from one academic environment to the next. To achieve this, each participating student will engage in weekly advisory sessions. Throughout the academic year, we expect our girls to actively participate in all in-school sessions, as well as various extracurricular activities.

We are fortunate to have the cooperation of local middle and high schools, allowing us to visit your daughters during the school day. In these sessions, we establish a safe and nurturing space, fostering a supportive community where the girls can openly discuss sensitive topics that may otherwise distract them from their academic pursuits.

Disclaimers: All Sophia Project Inc. programs are exempt from State of Missouri childcare licensure and are not regulated by the Office of Childhood.

Parents enrolling more than one child in our program are kindly requested to enroll each child separately. This practice helps us maintain accurate and organized data for each participant.

Special Note: A photographer and video crew will be on site to document some sessions, workshop presentations, and activities. Any photos and videos taken are for the purpose of placement in newsletters, brochures, and reports to promote the valuable work of The Sophia Project Inc.

Thank you for your cooperation.

The Sophia Project
Please select the program your child will be partcipating in:*

In-school EmpowermentK.I.S.S. - Keep It Safe & SacredUrban Girl Institute Summer Camp
Your Email*
example@example.com
Student's Information

To ensure a smooth enrollment process, kindly double-check all entered information for accuracy to prevent any potential delays. If you are enrolling more than one child, please remember to enroll them separately.
Please provide the full name of the child participating in the program: *

First NameLast Name
Pronouns
Date of Birth:*

MonthDayYear
Date
Race/Ethnicity: *
Primary Language(s) Spoken at Home:
(e.g., English, Spanish, Mandarin, etc.)
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Living Arrangements*
School:*
Grade for 2025-2026 School Year*
Upload Student's last report card

if you do not have it off hand please email to info@thesophiaproject.org
Cancelof
Does your child have any unique or special interests helpful for us to know?
Examples: KPOP, drawing, theater, fashion design, robotics, fencing, poetry, and music
Student's Medical
Are there any allergies or special dietary needs that should be brought to our attention? *
if not applicable, n/a
Are there any learning disabilities? If yes, please explain.*
if not applicable, n/a
Does the student have any existing medical conditions. If yes, please explain.*
if not applicable, n/a
Are there any mental health diagnoses?*

YesNo
If yes, please explain.
Does your child have medical insurance?*

YesNo
Health Insurance Company*
Group No*
if not applicable, n/a
Account No/ Participant ID*
if not applicable, n/a
Please attach copy of health insurance card

Cancelof
Family Doctor
Doctor's Name and Phone Number
What is your hospital of choice ? Disclaimer: if none, the Sophia Project will take your child to the nearest hospital.*

Children's HospitalCardinal Glennon HospitalMissouri Baptist HospitalDePaul HospitalSt. Mary's Hospital
Parent /Guardian Information
Parent/Guardian 1 *

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*
Address, City, State, Zip
Parent/Guardian 2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Address, City, State, Zip
Family Background Information

To help us secure funding and provide the best possible experience for all campers, we kindly ask you to share any optional information about your family's background. This information helps us meet grant reporting requirements and tailor our programs to better serve our community.The information you provide is confidential and will only be used for reporting purposes in a way that protects your privacy.
Total in household under 18yrs
Level of Education

Less than highschoolHighschool/ GEDSome College2 year degree4 year degreeTypPost graduate
Source of Income

Full Time EmploymentPart Time EmploymentSelf-EmployeedUnemployed
Please specify your household income below:

$0-$9,999$10,000-$14,999$15,000-$19,999$20,000-$24,999$30,000-$49,999$50,000-$99,999$100,000 and greater
Are/ Were you a member of the military?
Do you currently receive or within the last 3 years have you received SNAP, TANF, or Medicaid?

YesNo
If your family needs any additional resources support please describe below.
Emergency Contact
Name*

First NameLast Name
Relationship to Camper*
Telephone Number*
Authorized Pick Up Person(s)

The below persons are authorized to pick up camper.
Name*

First NameLast Name
Relationship to Student*
Name

First NameLast Name
Relationship to Student
Name

First NameLast Name
Relationship to Student
Consent and Releases
FERPA Release - Academic Records

In accordance with the Family Educational Rights and Privacy Act (FERPA), we request your consent to access your child's academic records from their school. This includes information related to grades, academic progress, and any evaluations that may be available. This data is essential for us to tailor our programs effectively and provide personalized support to your child.

Participation in Surveys

We and our collaborating partners may conduct surveys to evaluate the efficiency and impact of our programs. Your child's participation in these surveys will assist us in making data-driven improvements. These surveys are confidential, and your child's identity will be kept anonymous in any reports or analyses.

Disciplinary and Attendance Records

Your consent also allows The Sophia Project to request access to your child's disciplinary and attendance records from their school. This information helps us understand various aspects of your child's school experience and enables us to provide any additional support that may be required.

Opt-In and Program Participation

Please note that consenting to the terms mentioned above is essential for your child's participation in The Sophia Project's school programming sessions. Failure to provide consent may result in your child's inability to join the program.

Your child's well-being, academic progress, and overall development are our top priorities. By granting consent, you enable us to offer the best possible support and guidance.
I consent to The Sophia Project's access to my child's academic records, participation in surveys, and access to disciplinary and attendance records.I do not consent to any data sharing, and I understand that my child may not be able to participate in The Sophia Project's school programming sessions.
Field Trips

Campers will get to participate in weekly field trips exploring the St. Louis area.
The Sophia Project has my permission to transport my youth to and from weekly offsite outings for the Urban Girl Institute.

1. It is my/our understanding that the group will be transported to and from weekly offsite outings by bus. I also understand that every reasonable effort will be made to plan for safety on this trip. Nevertheless, I agree to assume full responsibility for any personal injury or any damage to my student’s personal property that may occur directly or indirectly during these outings.

2. I/we acknowledge that every effort will be made to contact the designated parent/guardian in the case of a medical emergency. If I/we cannot be reached, I/we authorize The Sophia Project/ Urban Girl Institute Staff, to seek appropriate medical(physician, dentist, nurse, etc.) care for my student.
Parent/Guardian Name*

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Today's Date*

MonthDayYear
Date
Photography and Videography
A photographer and video crew will be on-site to document some sessions, workshop presentations, and activities. Any photos and videos taken will be used in newsletters, brochures, and reports to promote The Sophia Project Inc.'s valuable work.

The Sophia Project has my permission to take pictures of my youth and to use those photos for promotional purposes, e.g., brochures, flyers, other print material, and social media.
Signature of Parent/Guardian*

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I acknowledge that the Sophia Project is exempt from licensure in the state of Missouri Please sign below*

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By signing below, I confirm that the information provided in this application is accurate to the best of my knowledge. I understand that this information will be used to support my child’s participation in the summer camp program and for reporting purposes as needed.*

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Today's Date*

MonthDayYear
Date
Thank you for taking the time to complete this application and for entrusting us with your child’s summer camp experience. Your responses help us ensure a safe, fun, and enriching environment for all campers. If you have any questions or additional information to share, please don’t hesitate to reach out.
Should be Empty:

Student's Information

Student's Medical

Parent /Guardian Information

Family Background Information

Emergency Contact

Authorized Pick Up Person(s)

Consent and Releases

Field Trips

Photography and Videography