Bud Self Esteem Program
Please sign up below for A Look in the Mirror's Self Esteem Program. The event kicks off on Saturday, February 1, 2020 at the Bethel Enrichment Center in Kannapolis, North Carolina. The cost includes all the materials the girls receive. If you have more than one child, please complete the form for each child. Please email email@example.com with questions or if you need information.
What does your child want to be when they grow up?
Emergency Contact Information (name, address and phone number of contact)
What is your purpose for signing your child up?
If you have questions, please list below:
( X )
Bud Program Entry
Credit Card Number
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm