Register GirlsJeffrey D Brown2020-10-18T19:11:51-07:00

ADD GIRLS TO WAITING LIST

I CAN! Girls Virtual Self-Esteem Program
October 24 – 10 am-1:30 pm (PST)

Registration for Girls Ages 10 – 18 is now closed.
Fill out the form below to be added to the Waiting List.

The virtual program is free for all girls, but donations are gladly accepted and greatly appreciated:

DONATE TO GIRLS PROGRAM

To add a girl to the waiting list, fill out the form below:

Adult Guardian Name*
First Last
Adult Guardian Email*
Enter Email Confirm Email
Adult Guardian Cell Phone*
Address of Girl*
Street Address City State ZIP Code
Girl Name*
Girl Age*
Girl's Email Address (if available)
Comments or Questions
Phone
This field is for validation purposes and should be left unchanged.