• Thank you for completing the WAIT LIST form for after school!

  • Girls Place Policies and Practices

    The following section includes information regarding payments, releases and our programming. Please read this information carefully. You will be held responsible for all of the content. Please contact Christi at christi@girlsplace.net with any questions.
  • Membership

    Membership is required to participate in any Girls Place program. Membership fees are $20 for one child and $40 for families with two or more siblings who live in the same home. Membership is nonrefundable and nontransferable. Girls who have participated in after school, athletics, and summer day camp in 2017 have already paid their membership fees. New members will be assessed membership when they register for the after school program. All members will be assess 2018 Membership Fees during January. Please call (352) 373-4475 if you would like to verify that your membership is paid. Membership is required to secure space in the program.
  • Weekly Fees

    The first week of fees, regardless of pay rate (i.e. Full rate, sibling, ELC, etc.) , is due upon registration. Space in the program is NOT SECURE without membership and the first week of fees paid. SPACE IS LIMITED BY SCHOOL and a maximum of 120 GIRLS.

    Please refer to the payment policy for details.

  • Financial Assistance

    Applications are no longer beign accepted.

    Please know that we are an Early Learning Coalition (ELC) provider and ELC is fortunate to be able to offer assistance to qualifying families at much lower rates than our assistance can provide. We do not charge weekly fees above and beyond the rate determined by ELC. Please contact ELC with any questions. 352-375-4110

  • Hours

    Operational hours are School Release - 6:00pm Monday through Friday.

    GP office hours are 11:00 am-6:00 pm - payments must be made during normal business hours or online

  • By initialing below I, as the parent or legal guardian, acknowledge the following information or policies. I understand that my initials are not required for the photo and social media releases.

    Please type in your initials for the following statements.
  • Initial Here
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  • Yes or No
  • Initial Here
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  • REGISTRATION

    Once this form is completed and the fees are paid, you will get a "SUCCESSFUL SUBMISSION" via email. It is critical that you type in your email correctly. Email will be our primary form of communication for the after school program. There are REQUIRED FIELDS in this form. If you do not complete a required field, it will be highlighted in red and will not be submitted until it is corrected.
  • First Child Information

    *All girls must be at least 5 years old to attend any Girls Place program.
  • mm/dd/yyyy
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    Please select the items that we CAN administer.
  • Second Child Information

    If necessary, this form can be used to enroll up to three siblings. An additional form is required for more than 3 children. OTHER FAMILY MEMBERS (including cousins), MUST COMPLETE A SEPARATE FORM.
  • mm/dd/yyyy
  • mm/dd/yyyy
    Please select the items that we CAN administer.
  • Third Child Information

    If necessary, this form can be used to enroll up to three siblings. An additional form is required for more than 3 children.
  • mm/dd/yyyy
  • mm/dd/yyyy
    Please select the items that we CAN administer.
  • Parent Information

  • Pick Up Limitations

    *We assume that Guardian #1, #2, and Emergency Contact listed are allowed to pickup your child unless otherwise notified. You may fill in as many or few contacts as you need here.*
  • Emergency Contact

    This must be someone other than a parent!
  • Demographics

    The following is optional and ONLY used to assist us in obtaining funding and various grants. THIS INFORMATION WILL BE HELD CONFIDENTIAL.
  • Please remember that this information is held confidential and is merely used for reporting purposes and securing additional grants.
  • Additional Medical Information

    If any information does not apply to your child, please put "N/A"
  • Questionnaire: (Please complete in an effort to provide the most positive experience for your children)

  • Required Fees

    The following fees must be paid in order to secure your space in the program. Space is limited to about 120 girls who complete the registration and pay ALL required fees. Space is also limited by space on the vehicles.
    This payment can be made in person at Girls Place. Your space will be secured once we receive your payment. Please contact us with any questions.
    This payment can be made in person at Girls Place. Your space will be secured once we receive your payment. Please contact us with any questions.
    This payment can be made in person at Girls Place. Your space will be secured once we receive your payment. Please contact us with any questions.
    This payment can be made in person at Girls Place. Your space will be secured once we receive your payment. Please contact us with any questions.
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  • Signature

  • I have read and fully understand the contents of this application. I have completed the application to the best of my knowledge and ability. I understand that if any information listed in this application changes, I will notify GIRLS PLACE immediately. The child/children listed above has/have my permission to participate in the activities sponsored by GIRLS PLACE as noted on the program schedules. In the case of an emergency an alternate person will be called if the parent(s) can not be reached by phone. The undersigned, individually and as parent or guardian of the participant, hereby authorize GIRLS PLACE to carry out any measures deemed necessary should an emergency occur, including at the expense of the undersigned, appropriate medical treatment for the participant, and hereby releases the GIRLS PLACE, its employees and agents, from any liability or claims arising out of the participant's engagement in the above described events.
  • FAILURE TO PAY FEES: I understand that I am responsible for paying fees in advance and failure to do so will result in an attempt to collect fees by Girls Place staff followed by the debt being sent to a collection agency. Families will be responsible for any fees incurred through this process.
  • AFTER SCHOOL GUIDE FOR PARENTS AND GUARDIANS: I understand that I am responsible for reading, understanding and abiding by the guidelines and policies in the parent guide. The guide is available on the Girls Place website and in the front office.
  • Type full name here