About Eryn PiNK
Contact Us
Home
Who We Are
About Eryn PiNK
Meet Eryn PiNK
Our Team
Our Programs & Events
She’s Gold Leadership and Personal Development Program
EPIC Young Professional Program
ICE Mentor Boy Program
The Baller’s Conference
Lunch Box Girl Talk
Give That Girl the Mic
International Day of the Girl
International Day of the Girl | Girls Will! Summit
Girls Will! Fireside Chat for Women
Program Calendar
Eryn PiNK Bow Factory
Get Involved
Become an Eryn PiNK Role Model
Guest Speaker Submission
Job Opportunities
Donate
Shop
ICE Mentors
Contact Us
Home
Who We Are
About Eryn PiNK
Meet Eryn PiNK
Our Team
Our Programs & Events
She’s Gold Leadership and Personal Development Program
EPIC Young Professional Program
ICE Mentor Boy Program
The Baller’s Conference
Lunch Box Girl Talk
Give That Girl the Mic
International Day of the Girl
International Day of the Girl | Girls Will! Summit
Girls Will! Fireside Chat for Women
Program Calendar
Eryn PiNK Bow Factory
Get Involved
Become an Eryn PiNK Role Model
Guest Speaker Submission
Job Opportunities
Donate
Shop
ICE Mentors
Contact Us
2024 -25 She’s Gold Registration
She’s Gold 2024-2025
Student Info
Student First Name
*
Student Last Name
*
Student Grade
*
6th
7th
8th
Student Email
*
Student Date of Birth
*
Student Phone Number
Student Gender
*
Male
Female
Other
Student Address
*
Student School
*
List allergies, if any:
Parent Info
Parent Name
*
Parent Name
First
First
Last
Last
Parent Phone Number
*
Parent Email
*
Parent Address
*
Parent Address
Parent Address
Parent Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Additional Emergency Contact Info
*
Permission to Participate
REQUIRED PERMISSION: Permission to Participate: I hereby give permission for my child to participate in this program. MY CHILD IS AVAILABLE TO ATTEND EACH DATE. Medical Authorization: I authorize the staff of the summer program to seek medical treatment for my child in case of an emergency, and I agree to be financially responsible for any medical expenses incurred. Transportation Authorization: I give permission for my child to be transported to and from program activities or field trips during the summer program. Photo/Video Release: I consent to the use of photographs or videos of my child taken during the summer program for promotional or educational purposes related to the program. Emergency Contact Information: I confirm that the emergency contact information provided is accurate, and I authorize program staff to contact the listed individual in case of an emergency involving my child.
*
Yes
No
Payment Information
Payment
*
Program Cost
*
$
Submit
How did you hear about the program?
If you are human, leave this field blank.