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