Form

Club Moxie

Club Moxie empowers young women, female-identifying, and gender non-binary youth to become catalysts for positive change in their communities by encouraging self-discovery, growth, and understanding. Gain leadership skills, build strong social, mental, physical, and financial habits, and connect with inspiring women in your community. Together, let's create a brighter future!

Attendee Information

Attendee's Name (First & Last)

Age

Dietary Restrictions

Parent/Guardian Section

**Required for all attendees under the age of 18.

The information below is related to the Parent/Guardian of the attendee.

Parent/Guardian Name (First & Last)

Phone Number

Emergency Contact Information

Please provide an emergency contact if different from Parent/Guardian.

Emergency Contact Name

Emergency Contact Phone Number

Anything Else We Should Know?

Terms and Conditions

Contact me about the next session of Club Moxie.

I agree to communications from the Junior League of Olympia.

I have reviewed the Club Moxie website and agree to allow my youth to participate in Club Moxie

I understand and agree to photos being taken during the event and used on Club Moxie or Junior League of Olympia websites, social media accounts, or other promotional forms.

Drop Off Disclosure

I permit my youth to arrive and depart the event premises on their own accord, without parent/guardian sign in/sign out.

I do not permit my youth to arrive and depart the event premises on their own accord. I will sign them in and sign them out of the event.

Electronic Signature

The Junior League of Olympia is an organization of women committed to promoting voluntarism, developing the potential of women, and
improving communities through the effective action and leadership of trained volunteers.

Its purpose is exclusively educational and charitable.

Cancel