Girls Can Do It Too! Membership Application Email * Child's Name * First Name Last Name Parent/Guardian's Name * First Name Last Name Parent/Guardian's Phone * (###) ### #### Is the Parent/Guardian aware of this application? * YES NO Date of Birth (Child) * MM DD YYYY Age (Child) * Grade Level * Pre K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 9th Grade 10th Grade 11th Grade 12th Grade N/A School Name * Please check all that apply to the applicant. * Housing Legal Basic Needs (Food, Clothing, etc) Health Insurance Health/Mental Health Academics Attendance Emotional/Behavioral Support Medical Issues Please describe the reason for applying for a GCDIT Membership. * By typing your name below, you agree to your child's participation in the Girls Can Do It Too, Inc. Program: Thank you for your application! A member of our team will be in touch shortly.
