PowerUp Girls for Life Program Registration
Registration will reopen in February for spring, 2019 events in Greeley, Windsor, and throughout Weld County, Colorado!
See the program page for more information.
AFTER FILLING IN the above FORM AND CLICKING the ORANGE "SUBMIT REGISTRATION" BUTTON,
please click inside the white box below under "Fee amount" to make a donation to defray our costs for all sessions. Even though the amount may not stay visible in the white box, it will transfer to PayPal when you click the yellow "Pay Now" button. You don't need a PayPal account to donate—just click the gray button on PayPal that says "Pay with debit/credit card." Thank you!
After we receive your form submission and payment, we will notify you by e-mail.
PowerUp Girls for Life Consent Information
By indicating your consent for your child to participate in the PowerUp for Middle School program while registering online, you verify the following:
1. You are the parent or guardian of the child registered to participate.
2. You have reviewed the detailed curriculum on the program page of the website, have read all the consent information here, and have no concerns about your child learning about listed topics and other related topics.
3. Your registered child is a 5th, 6th, or 7th grade girl.
4. You understand that this program’s purpose is only educational and not therapeutic. If program facilitators identify a need that may benefit from psychological evaluation or therapy, referral information but not therapy will be given.
5. You understand the following rules for participant conduct that will optimize the learning experience: respectful, nondisruptive behavior, following program facilitator directions, and keeping cellphones on silent and in a pocket or bag. If any of these rules are violated, you will be called to come and pick up your child.
6. You agree to have a parent or guardian sign in and sign out your child everyday at the registration desk and to pick up your child each day by 5:20 PM.
7. You will not hold program facilitators or the Greeley Recreation Center liable for accidents or injuries.
8. Your child will be provided food and if she has food insensitivities or allergies, it is her responsibility to ask about ingredients in all food she chooses to ingest, and you have discussed this responsibility with her.
9. You are aware that program facilitators are mandatory reporters of child abuse and neglect.
10. You permit utilization of photographs or videos of your child taken during her involvement in the program for promotional purposes and waive all rights of compensation.
11. One of our goals is to learn how to improve the program and assess how well we provide empowering life-skill education. By consenting, you agree to have your child participate in group verbal surveys and to fill out personal anonymous surveys during the program, indicating things such as understanding of the topics and enjoyment of the activities. You also agree to do a quick online anonymous parent-guardian survey after the program. Lastly, you permit us to use summaries of any survey data or anonymous participant quotes in research studies, on our website, or in print materials, etc.