Student Application

Please fill out these questions so we can learn a little bit more about you. This should be done 100% by the student, not the parent/guardian. If you would prefer to write the answers and mail/fax them, download the form and send it in.

Patricipant Name
Participant email
How did you hear about Girlz Climb On?
Every Monday we'll meet at the gym to climb and enjoy our new friends. You'll work closely with a mentor to develop your skills & strengths. We'll have yummy snacks & play fun games. What about this interests you?
Have you ever been rock climbing before? If yes, when/where did you go? And who did you go with?
Tell us a little bit about yourself. What do you like to do? How would you describe yourself?
Any organizations, after-school programs, or extracurricular activities you participate in?
What other GirlVentures programs have you done? (If any - not required)
Who else do you know that's applying for this same program? (If anyone)