Chicago Registration Form 1 Start 2 Payment 3 Complete Trusted Adult Information First Name * Last Name * Street Address * Address Line 2 City * State * Zip * Email * Home Phone * Mobile Phone Would you like to receive text message updates at this number? Yes Employer Job Title Pre-Teen Girl Information First Name * Last Name * Birth Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019 School Daughter Attends * Are you bringing a second daughter for $25? Yes No T-Shirt Size Adult Small Youth Large Adult Medium Adult Large Adult Extra Large Adult Extra Extra Large 2nd Daughter's Information First Name Last Name Birth Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year200520062007200820092010 School Daughter Attends * Registration Information Do your daughters belong to any of the following organizations? * Girl Scouts Girls on the Run Girl Talk None Other How did you hear about the program? * - Select -FriendSchoolGITK NewsletterFlyerFacebookSocial MediaSearch EngineOther I'm interested in learning more about volunteering as a Program Leader in return for reduced fees* * Yes No Please Check your area of interest Volunteering Sponsoring Programming Coupon Code Event(s) * - Select -GITK Empowerment Workshop Series at Studio 1002 Pilates In order to confirm your registrations do you agree to our terms, conditions and refund policy? * * Yes, I have read and agree to the above terms of use. Next Page >