Child's Name *

Parents Name *

Phone *

Email *

Current Age & Grade *

How would you describe her relationship with reading? *

What would make you most excited about her joining EHA Book Club? *

Connecting with other girls who love books

Building confidence and communication skills

Discovering new books/authors

Encouraging her to read more

Personal growth and life skills

All of the above

What would work best for your family?

In-person meetings

Virtual meetings

A mixture of both

Would your daughter enjoy occasional experiences connected to the books we read?

Absolutely

Probably

Maybe

Think author conversations, bookstore outings, coffee-shop meetups, themed discussions, movie adaptations and other experiences.

Are you familiar with Encourage H.E.R Academy *

How did you hear about us? *

By checking this box, I consent to receive non-marketing text messages from Encourage H.E.R Academy Inc.. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Encourage H.E.R Academy Inc. at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.