Girl Talk 1:1 Mentoring & Signature Events Application

  • Participant Information

  • MM slash DD slash YYYY
  • Please specify the name of your school.
  • Parent/Guardian Information

  • Please indicate the number of individuals who reside in the household.
  • Medical Information

    This information will be used in the event of an emergency.
  • Emergency Contacts

    Please designate two (2) people we can contact if there is no answer when we attempt to reach you. These contacts MUST BE LOCAL.
  • Grade Release

    At Girl Talk, Inc. we are training our girls to become successful women in today's society and we focus on ensuring academic achievement. I hereby agree to release a copy of my child's report card to Girl Talk staff and/or volunteers at the end of each 9 week grading period.
  • Attendance Policy

    Your child's participation is very important. Our program is designed to assist in the development of your child and she will only get from it what she gives to it, which in this case, is her time. We want our girls to mature into bold and confident young women and our activities and events are tools to assist in this transformation. Girls must participate regularly to maintain their enrollment status. If your child misses three (3) consecutive activities or mentoring outings without any notice, it will be assumed your child no longer wishes to participate in Girl Talk, Inc. and a letter will be sent to the mailing address you provided notifying you that her membership in Girl Talk has been rescinded.