EmpowerHER Summer 2026 Registration

This 6-week research-based program is designed to help girls develop self-esteem, gain self-awareness, form friendships with peers and feel more empowered!

Please fill out the registration form below as well as the included parent survey. Confirmation of your registration status, along with further details, will be sent to your email.

PLEASE NOTE: Since space is limited, we expect that registered children will be attending the majority of the program sessions. If your summer plans change and your child is unable to attend the program regularly, please let us know as soon as possible so that we can offer the spot to another child.
Child's Name (one child per form please)*

First NameLast Name
Incoming 5th graderIncoming 6th graderIncoming 7th graderIncoming 8th grader
Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information*
Name
Relationship to child
Best number to call in an emergency
Please share any allergies and/or relevant medical conditions that could interfere with activities.
Flyer from your child's schoolWord of mouth from friends/familyYES staffSocial media/web page
YesNo
YesNo
If no, can you share any feedback from your experience with our program in the past?
Focus on self esteemLearning social skillsTime of dayLocation6-week scheduleCostOther
If you answered "Other" to the previous question, please share what else appeals to you/your child about the program.
YesNo
If you answered "Yes" to the previous question, if you're comfortable, please share when and where they will attend and if there is a cost involved with that program.
YesNo
Registration*
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EmpowerHER - Girls entering 5th, 6th, & 7th Grade
Tuesdays, July 7th - August 11th, 4:00pm - 5:30pm

$ Free
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