Girls Inc. 2026 Events
Participants Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Is Your Participant Already A Girls Inc. Member?
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Yes
No
Please confirm which GIDE event you are RSVPing for
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Please Select
Friendsgiving: Sat. Nov. 14th, 11:00 AM - 2:30 PM
Holiday Celebration: Sat. Dec 12th, 11:00 AM - 2:00 PM
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Participants Date of Birth
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participants Grade
*
Please Select
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
What School Does The Participant Attend?
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Participant's Zip Code
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Participant's Primary Language
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Please Select
English
Spanish
German
French
Arabic
Other
Participant's Race/Ethnicity
*
Please Select
White
Hispanic or Latina
Black, African, or African American
Asian, South Asian, Southeast Asian, or Central Asian
Native American, Indigenous, Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial or more than one race
Participant's Ethnicity
*
Please Select
White
Hispanic or Latina
Black, African, or African American
Asian, South Asian, Southeast Asian, or Central Asian
Native American, Indigenous, Alaska Native
Middle Eastern or North African
Native Hawaiian or Pacific Islander
Multiracial or more than one race
Household Type / Family Configuration
*
Please Select
Two-parent household
Mother-only household
Father-only household
Shared/Joint Custody
Foster Parent
Grandparent/Guardian/Other Relative
Household Income Category
*
Please Select
Under $10,000
$10,000 - $14,999
$15,000 - $19,999
$20,000 - $24,999
$25,000 - $29,999
$30,000 - $34,999
$35,000 - $40,000
$40,000 - $50,000
$50,000 - $60,000
$60,000 - $70,000
$70,000 - $80,000
More than $80,000
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Food Allergies?
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Participant challenges, needs, or accommodations
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Treatment/Emergency CareI 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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Is the participant age 15 or older and approved for independent dismissal?
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YES
NO
Independent Dismissal: By signing below, I authorize Girls Inc. of Delaware to release my child aged 15+ at the scheduled dismissal time without a parent or legal guardian present, allowing my child to leave independently, including by walking, self-driving, or other pre-approved means of transportation. I accept responsibility for my child upon release and understand that this authorization may be revoked in writing in accordance with applicable policies.
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Media Release Consent: I give permission for Girls Inc. of Delaware to use photos or videos of the participant for program and promotional purposes.
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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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