GELI 2026 Group Registration

For more information on the MCSW Girl’s Empowerment Leadership Initiative visit the program homepage or email MCSWprograms@mass.gov.

GELI Summit 2026 Group Registration

Registering a group for GELI? Use the below form!

This field is for validation purposes and should be left unchanged.

Group Leader Information

Group Leader Full Name(Required)
Group Leader Email(Required)
Group Leader Address

Additional Group Information

What are the ages of your group participants?(Required)
Check all that apply
Are you the only 18+ individual responsible for this group?
For every 10 participants under the age of 18, 1 adult responsible for those participants must accompany them.
Additional Adult Leader Information
First Name
Last Name
Email
 
Click the “plus” button on the right to add additional adults.

Participant Information

Please add information for each participant in your group.
Participant Information(Required)
First Name
Last Name
Email
 
Click the “plus” button on the right to add additional participants. First name, last name, and email must be included for all participants.
Consent(Required)

Sessions

Participants will have two morning sessions with a variety of options. Available session topics and schedule subject to shift slightly.
MCSW Morning Session 1 Options(Required)
Select exactly 3 choices.
Select your top three session options. Sessions are first come, first serve, but you may be added to the waitlist. Depending on availability, sessions may shift. Full session descriptions and agenda can be found at bit.ly/mcswgeli.
MCSW Morning Session 2 Options(Required)
Select exactly 3 choices.
Select your top three session options. Sessions are first come, first serve, but you may be added to the waitlist. Depending on availability, sessions may shift. Full session descriptions and agenda can be found at bit.ly/mcswgeli.

Accessibility & Dietary Restrictions

Please let us know if you have any special needs, dietary restrictions, or obstacles to full participation.
Do you or any member of your group require any accessibility accommodations?(Required)
(I.e. Additional language or translation needs, Medication Storage, Religious needs)
Do you or any member of your group have any allergies or dietary restrictions?(Required)
Please include any remedies or requirements (for instance, if you’re allergic to bee stings but you carry an epi-pen, please let us know).
Participant Liability Waiver(Required)
Consent to Aid/Treatment(Required)
By signing this form, I give consent and permission for MCSW staff, volunteers, representatives, or contractors to provide medical care to me or to my child, to transport me or my child to a medical facility or to seek the aid of emergency medical services as deemed appropriate. I further authorize MCSW staff, volunteers, representatives, or contractors to render whatever treatment they consider necessary for my or my child’s health, and I agree to pay all costs associated with that care and transportation.
Media Release(Required)
We’re especially sensitive to media releases when at youth events where minors may be present. By signing this form, I understand that photo and video recording of this event will be captured and may be shared publicly by the MCSW.