T-shirt size of girl participant: *


Session Information


To participate in PositivelyMe! program, your child must be able to attend both days and stay for the full length of time. Please indicate which session she can attend in order of preference by marking a 1, 2, 3, next to each date (1=most preferred date) : *
* Junior League House- 231 EAST Putnam Avenue, Greenwich, CT 06380



Alternative Emergency Contact Information


* Name of Person(s) to notify in case of an emergency(if Parent/Guardian cannot be reached) 

Consent Form

To participate in PositivelyMe! all parents must sign a release form. Please click the link below to be taken to the release form and remember to return to this page to continue with registration and submit. 
 
RELEASE FORM

* Please note, a memory group photo of the girls will be taken. Do you give permission for other photographs with your child to be used for public relations materials? No names or school information will be included. *

One last thing...