Registration

Mother/Caregiver Information

First *

Last *

Street Address *

Address Line 2

City *

State *

Zip *

Email Address *

Home Phone *

Mobile Phone

Would you like to receive text message updates at this number?

Yes

Employer

Job Title

Daughter's Information

First *

Last *

Daughter's Age *

Daughter's Birthdate *

T-Shirt Size *

School Daughter Attends *

Are you bringing a second daughter for $25

Yes

Second Daughter's Information

First *

Last *

Daughter's Age *

Daughter's Birthdate *

T-Shirt Size *

School Daughter Attends *

Registration Information

Do your daughters belong to any of the following organizations? * Girl Scouts
Girls On The Run
Girl Talk
None
Other

How Did you hear about the program *

Would you like to help another family at your school attend? * Yes, I will donate $10
Yes, I will donate $25
Yes, I will donate $50
Yes, I will donate $125
No, thank you.

Which speaker series location will you be attending? * St. Louis
Chicago

Select A Venue - St.Louis *

Select A Venue - Chicago *

- Fee $

I'm interested in learning more about volunteering as a Program Leader in return for reduced fees * Yes
No

Please check your area of interest Volunteering
Sponsoring
Programming

Would you like to receive the GITK newsletter Yes
No

Please enter your coupon code here: Apply

In order to confirm your registrations do you agree to our terms, conditions and refund policy? * I have read and agree to the above terms of use.

Total: $

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