GoGirlGo 2024 Interest Form

Thank you for your interest in the GoGirlGo program through LifeBridge Health and the JCC of Greater Baltimore. Please provide us with the following information so that we can contact you to respond to any questions and to send you a Zoom link for the Virtual Information Session on January 10 at 8:00pm.

Girl's Name Girl's Name First Last
Girl's Age as of March 2023

Girl's Age as of March 2023 11 12 13 Other Other
Would you like to pre-register for the Jan. 10th virtual info session for both parents and girls? Zoom time is 8:00-9:00pm.

Would you like to pre-register for the Jan. 10th virtual info session for both parents and girls? Zoom time is 8:00-9:00pm. Yes Not sure yet
Girl's School

Girl's School Bais Yaakov Beth Tfiloh Bnos Yisroel Ohr Chadash Other Other
Has this Girl ever participated in the JCN walk/run or any other organized race event?

Has this Girl ever participated in the JCN walk/run or any other organized race event? Yes No
Please describe this Girl's level of physical activity:

Please describe this Girl's level of physical activity: Activity is limited to regular day to day activities Exercises 1-2 times per week Exercises 3+ times per week
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Email
Parent/Guardian Cell Phone Parent/Guardian Cell Phone - ### - ### ####
Please note any comments or questions here: