Book Club Interest Form - Ambition Crush

Parent or Guardian Name *

First

Last

Second Parent or Guardian

First

Last

Participant's Name *

First

Last

Please use a separate form for each child.

Age of Your Child *

What school does your student attend? *

Your Email *

Participant's Email

Text Reminder Phone

Enter your number to get reminder texts when camps & workshops open for enrollment.

What topics are you and your student most interested in? *

Where can you and your student participate best? *

What city and state do you reside in? *

Ex: Chicago, IL

Are you interested in volunteering from time to time? *

Please understand that any volunteering that involves interaction with students will require a background check.

What would you like her to gain/improve by participating in our program(s)? *

Do you have any questions or comments? Concerns or things we should know about your teen?

Yes, we are inclusive - so all girls are welcome to apply!

Join the Ambition Crush Book Club!