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🎯 Leadership Academy Registration

The Leadership Academy at Girls Inc. of Greater Indianapolis is a dynamic two-week workshop for young women aged 13 to 25.

Designed to equip participants with the skills and confidence they need to stand out, the program features hands-on activities that develop essential leadership qualities like effective communication and decision-making. These skills help young women excel in academics 📚, extracurriculars 🎭, and future opportunities 💼.

Participants will also connect with like-minded peers and mentors, building a strong support network that encourages growth and ambition. With personalized strategies, they will leave feeling empowered to take on leadership roles, advocate for themselves, and navigate the path to success with confidence. ✨

Who:
- Young women ages 13 - 18
- Girls Inc. Indy Alumnae ages 18 - 25
Dates: July 7th - July 18th, 2025
Time: 10:00 AM - 4:00 PM
Where: Girls Inc. Indy - 3935 N Meridian St.
Cost: Sliding Scale - $300
- Leadership Academy fees will range on a sliding scale, depending on financial need and Girls Inc. Indy's limited scholarship fund.
- We will review your registration and financial assistance form, then adjust the cost based on our sliding scale. Once finalized, we will provide instructions on payment methods, deadlines, and other important information.

For questions or additional information, please contact Emily Henson at [email protected] or 317.847.3663.

Participant Information

Participant's First Name *

Participant's Last Name *

Participant's Date of Birth *

Participant's Primary Language: *

English | Inglés

Spanish | Español

Address

Participant's Home Address: *

City *

State *

Zip Code: *

School Name for 2025-2026 School Year (Next Year) *

Grade Level for 2025-2026 School Year (Next Year) *

Is this your child's first time with Girls Inc. Indy? *

Yes | Si

T-Shirt Size: *

Please select the appropriate shoe size for your participant:

Kids Shoe Sizes:

Adult Women's Shoe Sizes:

Approved for Pickup

Please list the names of people approved to pick up your child (not the parent/guardian completing this form): *

Approved Person #1
Approved Person #2
Approved Person #3
Approved Person #4

Emergency Contact Information

Primary Emergency Contact (not the parent/guardian completing this form):

First & Last Name: *

Mobile Phone Number: *

Relationship to Participant *

Secondary Emergency Contact:

First & Last Name:

Mobile Phone Number:

Relationship to Participant

Signed Permissions

Behavior Agreement

I agree that my participant in Girls Inc. will treat others the way they want to be treated, include everyone, BE KIND, think “Safety First,” come with a good attitude, be ready to join in activities, have self-control, and help keep the location clean, organized and have FUN!

Behavior Consequences

First offense: a verbal reminder of behavior expectations.

Second offense: family communication and behavior plan.

Third offense: suspension.

All consequences are subject to the discretion of Girls Inc. Indy staff.

Suspension Policy

At Girls Inc., we do not tolerate any form of bullying. This will result in immediate suspension. Other minor offenses of a continued nature could result in suspension from Girls Inc.

Girls Inc. Indy also reserves the right to temporarily suspend a participant to ensure the safety of all participants regardless of any one individual's behavior.

The following offenses will result in immediate suspension: Bullying, Intentionally physically hurting girls, staff, or volunteers. Verbally threatening to hurt girls, staff, or volunteers, stealing from other girls, staff, volunteers, or Girls Inc. property, disrespectful attitude towards other girls, staff, or volunteers, swearing or other inappropriate language, or possession of weapons or drugs.

Initial 1 - Behavioral Agreements *

Field Trip Permissions

I permit my participant to participate in all program field trips with Girls Inc. of Greater Indianapolis. I understand that reasonable precautions will be taken to safeguard my girl(s) on these excursions. I will not hold the Girls Inc. of Greater Indianapolis Board of Directors or any of its employees or volunteers responsible for any accident or loss that might occur. I authorize Girls Inc. of Greater Indianapolis to provide or arrange transportation for my girl(s) on field trips.

Initial 2 - Field Trips Permission *

Medical Release

In case of a medical or surgical emergency, I, the parent/guardian hereby give my permission to the medical provider(s) and/or facility selected by the Girls Inc. staff to authorize medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures deemed a medical or lifesaving emergency for my child/dependent, the participant.

Initial 4 - Medical Release *

Media Release (Optional)

I, the parent/guardian, hereby consent to and authorize the use or reproduction by Girls Incorporated of Greater Indianapolis and/or agents authorized by them, of any and all photographs, video reproductions, or other records taken during the event, including without limitation photos and sound of the participant alone or with others, for any reasonable purpose, without compensation to me. I understand the participant’s name (in the case of youth under 18 years of age, only first name) may be used.

Initial 5 - Media Release (Optional)

Transportation Release (Optional)

I am aware and grant permission for my child to use public transportation options to arrive and depart from a Girls Inc. of Greater Indianapolis program, including but not limited to IndyGo buses, Uber, Lyft, or other rideshare services. I understand that Girls Inc. of Greater Indianapolis is not liable for incidents that may occur while my child is traveling to/from the program location, using public transportation, or waiting at transit stops.

Initial 6 - Transportation Release (Optional)

Signature of Parent/Legal Guardian *

Clear

Printed Name of Parent/Legal Guardian *

Date Signed *

Where did you hear about this experience? *