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Sisters in the Spirit
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Girl Glow Subscription
First name
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Last name
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Child's name
Age
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Mailing Address
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County of Residence
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Phone Number
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Email
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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?
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How would you rate your child's current academic performance?
Below Average
Average
Above Average
How involved is your child in extracurricular activities?
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Not involved
Somewhat involved
Very involved
Does your child exhibit leadership qualities?
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Never
Sometimes
Often
Always
How would you describe your child's social skills?
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Poor
Average
Good
Excellent
How much support does your child receive from family and friends in her personal and academic life?
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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...?
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1 month
3 months
6 months
Once will be fine
Type of Support :
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