GNO Parent Intake Form
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Thank you for your interest in the Girls Night Out (GNO) program!

There are two separate intake forms to be completed. First, please take your time filling out the GNO parent intake form below. After you submit the parent portion, you will be directed to our GNO participant intake form. Please have the potential participant fill out their portion of the intake form.


As soon as we receive your intake forms, you will be added to our GNO list-serve and receive information about upcoming GNO skills groups, community events, and related activities. We look forward to hearing from you!

For more information about GNO, visit our website at www.kumc.edu/cchd/gno

Please let us know if you have any questions or concerns. You can contact Mallorey Marek, GNO program coordinator, at m647m830@kumc.edu or 913-588-4046.

Thank you!

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