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Sisters in the Spirit
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Giving Tuesday !
Girl Glow Subscription
First name
*
Last name
*
Child's name
Age
*
Mailing Address
*
County of Residence
*
Phone Number
*
Email
*
Ethnicity
How did you find out about SIS
On a scale of 1-10, how confident do you feel your child is in her abilities?
*
How would you rate your child's current academic performance?
Below Average
Average
Above Average
How involved is your child in extracurricular activities?
*
Not involved
Somewhat involved
Very involved
Does your child exhibit leadership qualities?
*
Never
Sometimes
Often
Always
How would you describe your child's social skills?
*
Poor
Average
Good
Excellent
How much support does your child receive from family and friends in her personal and academic life?
*
Minimal
Moderate
Significant
What do you hope your child will gain from participating in the Girl Glow program? (e.g., improved self-confidence, better academic performance, enhanced leadership skills)
How often would you like to receive period supplies for your child? Once every...?
*
1 month
3 months
6 months
Once will be fine
Type of Support :
*
Period Support
$0
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