What We Do

Registration Form

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Click here for a list of fees for each program.

If you are wanting to make a payment for the after-school program, click here.

Registration for the iCan Engineering Conference can be found here

Registration for Spring and Winter breaks are currently closed.

*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
Girl's Information
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
Mother's Information
Father's Information
Guardian's information (if other than parent)
Emergency Information
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
Participation Fact Sheet

Information is confidential and needed for reporting purposes only and will be used anonymously. Please assist us by checking all the appropriate boxes.

*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED

Please note: Your child's place in our program is not confirmed until payment arrangements have been made. You will be given the option to pay in full by credit card now on the next page. If you would like to pay by check, please make it out to Girls Inc. of Central Alabama and mail to:

Girls Inc. of Central Alabama
P.O. Box 130729
Birmingham, AL 35213

If you have questions regarding payment plans, please email Angela Eakins or call (205) 599-5545.

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