Honor Your Crown, Inc. – Girl Enrollment Form

Honor Your Crown, Inc. – Annual Girl Enrollment Form

Please complete all sections to ensure your daughter's participation.
“But you are a chosen generation, a royal priesthood, a holy nation, His own special people, that you may proclaim the praises of Him who called you out of darkness into His marvelous light.” —1 Peter 2:9 (NKJV)
Participant Information

Please provide information about the participant.
Participant Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Current Grade in School*
School Name*
City of Residence*
Crown Cohort Placement

Select the appropriate cohort for the participant.
Select Crown Cohort*

Little Queens (8-10)Rising Queens (11-13)Royal Leaders (14-18)
Parent / Guardian Information

Please provide parent or guardian contact details.
Parent/Guardian Full Name*

First NameLast Name
Relationship to Participant*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Preferred Method of Communication*

PhoneEmailText
Program Connection

Tell us about your connection to Honor Your Crown.
Is your child currently a member of Honor Your Crown?*

YesNoReturning Member
How did you hear about Honor Your Crown?*

Social MediaSchoolChurchFriend or Family MemberCommunity EventWebsiteOther
Growth & Development

Share your goals for your child's growth through HYC.
What areas would you like your child to grow in through HYC?*

Confidence & Self-EsteemLeadership SkillsEmotional WellnessSocial Skills & EtiquetteFaith & IdentityAcademic SupportLife SkillsAll of the Above
Has your child participated in mentorship or youth programs before?*

YesNo
If yes, please describe your child's previous mentorship or youth program experience.
Support & Awareness

Help us best support your child.
Does your child have any special needs, learning considerations, or accommodations we should be aware of?*

YesNo
If yes, please describe any special needs, learning considerations, or accommodations.
Are there any emotional, behavioral, or social areas where your child may need additional support?
Parent Commitment

Your support is vital to your child's success in HYC.
Are you willing to support your child's participation in Honor Your Crown?*

YesNo
Would you like to receive updates and engagement opportunities from Honor Your Crown?*

YesNo
Consent & Acknowledgment

Please read and acknowledge the following.
Honor Your Crown, Inc. is a faith-based, annual commitment program dedicated to empowering girls to embrace their identity, purpose, and leadership. By enrolling, you acknowledge the program's values and your family's commitment to participate fully for the year.
Parent/Guardian Full Name (Electronic Signature)*
Date*

MonthDayYear
Date
Step 2: Parent Covenant & Commitment

“But you are a chosen generation, a royal priesthood, a holy nation, His own special people, that you may proclaim the praises of Him who called you out of darkness into His marvelous light.” — 1 Peter 2:9 (NKJV) By enrolling your daughter, you commit to supporting her journey, modeling the program's values, and upholding the Honor Your Crown covenant.
I commit to regular attendance and punctuality for my child.*

YesNo
I commit to open communication with HYC staff.*

YesNo
I understand and agree to uphold the values of respect, integrity, sisterhood, and accountability.*

YesNo
Step 3: Media & Photo Release

I acknowledge that Honor Your Crown, Inc. may use photographs and videos of participants for program promotion and documentation. No last names will be published without consent.
Do you give permission for your child's image to be used in photos or media related to Honor Your Crown, Inc.?*

Yes, I give permissionNo, I do not give permission
Step 4: Transportation Consent

I acknowledge that transportation may be provided for certain Honor Your Crown, Inc. events and activities. I understand and accept the terms of transportation provided.
Do you give permission for your child to participate in transportation provided by Honor Your Crown, Inc.?*

YesNo
Step 5: Final Signature

Please provide your signature to complete enrollment.
Parent/Guardian Full Name (Electronic Signature)*
Date*

MonthDayYear
Date
Should be Empty:

Honor Your Crown, Inc. – Annual Girl Enrollment Form

Participant Information

Crown Cohort Placement

Parent / Guardian Information

Program Connection

Growth & Development

Support & Awareness

Parent Commitment

Consent & Acknowledgment

Step 2: Parent Covenant & Commitment

Step 3: Media & Photo Release

Step 4: Transportation Consent

Step 5: Final Signature