2022 Live Out Loud: Teen Girls Empowerment Summit
Thank you for your interest in our event. This 2.5 hour event will take place Saturday, March 26, 2022 at 10am CST | 11am EST. Once you have completed and submitted the registration form, you will receive a confirmation email with the Zoom Meeting link. Parent/Caregiver consent is required to participate. Please contact us at abwhevirtual@abwhe.org with any questions. Thank you!
Participant Name:
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First Name
Last Name
Date of Birth:
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Month
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Day
Year
Date
City & State/Province
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(example Detroit, MI)
Participant Email Address:
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example@example.com
Participant Race/Ethnicity:
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Participant Current School Name:
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School City/State Province:
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(example Detroit, MI)
Participant Current Grade:
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Please Select
6th
7th
8th
9th
10th
11th
12th
This event will be recorded and the use of videos, photos, and sound recordings from the event may be used in the organization's marketing campaigns. By checking the yes box, you are giving permission to the Association of Black Women in Higher Education to take and use photographs, video or sound recordings of your child throughout their participation in the event. This is completely voluntary and up to you. You will not receive compensation for the use of your child’s image, likeness, appearance, and voice now or in the future. Scholars who do not wish to be photographed and/or in videos will be asked to turn their cameras off.
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Yes, I understand that this event will be recorded and there is a possibility my child will be photographed or recorded. I give permission of the use of photographs, video or sound recordings of my child.
No, I do not give permission of the use of photographs, video or sound recordings of my child.
How did you hear about this event?
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Parent/Caregiver Name:
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First Name
Last Name
Parent Caregiver/Signature :
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(By siging this I give the afromentioned minor permission to fully participate in the ABWHE Virtual Teen Girl Summitt)
Submit
Should be Empty: