Girls LEAD Program
  • Girls LEAD Program

    Register for CHAMP’s Girls LEAD Summer Empowerment Experience for moms and daughters ages 8–12. Space is limited. Field trips, food, drinks, and snacks are provided through sponsor support.
  • Parent / Guardian Information

  • Format: (000) 000-0000.
  • Preferred Contact Method*
  •  Daughter’s Full Name 

  •  Daughter’s Date of Birth*
     - -
  • Format: (000) 000-0000.
  •  Participation Questions

  • Will the mother/guardian be attending the once-a-week sessions?*
  • Emergency Contact

  • Format: (000) 000-0000.
  • Health / Food Information

  • Does your daughter have any food allergies?*
  • Does your daughter have any medical conditions or health concerns?*
  • Does your daughter require any accommodations
  • Program Logistics

  • Can your daughter attend the full 4-week program in June 2026?*
  • Will your daughter participate in field trips?*
  • Consent / Disclaimer

    Photo & Media Release Disclaimer 
  • By registering for Girls LEAD, you understand that photos and videos
    may be taken during program activities for CHAMP marketing, social
    media, website, and promotional purposes.

  • Do you give CHAMP permission to photograph/video your daughter and use those images for program and promotional purposes?*
  • Girls LEAD includes educational field trips. All field trips are
    covered by sponsor support, and food, drinks, and snacks will be
    provided throughout the program.

  • Do you give permission for your daughter to participate in Girls LEAD field trips?*
  • Participation Acknowledgment*
  • Date
     - -
  • Should be Empty: