Ignite My Fire Female Teen Conference 2024 Registration

Welcome to Ignite My Fire Teen Female Conference 2024!

The Ignite My Fire Teen Female Conference will take place at Shiloh Baptist Church Family Life Center located at 262 Macon Street, McDonough GA. Ignite My Fire’s goal is to serve female teens, ages 13-19, by allowing them an opportunity to explore and discuss their future. Sessions are designed to focus on health/wellness, passions/dreams, mentoring and financial literacy. The goal is to inspire teenagers to value themselves by providing them with the connections and resources to examine their interests in a way that prepares them for occupational and academic success.

Things to know when registering for this event.
- Parents please register up to four (4) attendees at one time.
- Attendees with dietary restrictions, you are encouraged to bring your own lunch.

Ignite My Fire Teen Female Conference 2024 Registration

March 23, 2024 | 9:00 am - 2:30 pm
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Parent Number*
Please enter a valid phone number.
Please enter the name/code of the person who invited you.
Is your youth attending this event with an organization? If yes, please list the organization name.
Organization Name
How many female youth are you registering for Ignite My Fire Conference 2024?*

Attendee #1
Name*

First NameLast Name
Email
example@example.com
City, ST, & Zip*
Age*
Grade*
Attendee #2
Name*

First NameLast Name
Email
example@example.com
City, ST, & Zip*
Age*
Grade*
Attendee #3
Name*

First NameLast Name
Email
example@example.com
City, ST & Zip*
Age*
Grade*
Attendee #4
Name*

First NameLast Name
Email
example@example.com
City, ST & Zip*
Age*
Grade*

Ignite My Fire has partnered with Bless The Dress (Charity Organization) to offer free formal dresses for IMF teens. Are any of the Ignite My Fire females you are registering for the Conference interested in receiving a free formal dress for an upcoming event (i.e., prom, spring dance, etc.)? If so, please complete the next section of this registration form.
Note: You will need to attend the full conference to receive a dress, enter their name and size.
Is your Ignite My Fire teen registrant interested in receiving a free formal dress? (Note: You must attend the full conference to receive your dress.)

YesNo

How many of your teen registrants are interested?

1234
Attendee #1 - Name*

First NameLast Name
Attendee #1 - Dress Size*
Attendee #2 - Name*

First NameLast Name
Attendee #2 - Dress Size*
Attendee #3 - Name*

First NameLast Name
Attendee #3 - Dress Size*
Attendee #4 - Name*

First NameLast Name
Attendee #4 - Dress Size*

COVID Statement*

I agree that by attending the Conference 2024 on Saturday, March 23, 2024, from 9:00am - 2:30pm, I waive all civil liability against this premises owner and operator for any injuries caused by the inherent risk associated with contracting COVID-19 at public gatherings, except for gross negligence, willful and wanton misconduct, reckless infliction of harm, or intentional infliction of harm, by the individual or entity of the premises.
Photo, Audio and Video Permission
We want the Ignite My Fire Teen Female Conference 2024 to be an enhancement to each of the young ladies' lives and we want to be able to show that! By registering, you grant Ignite My Fire and its subsidiaries and affiliates permission to use, publish and reproduce your name, video, audio, appearance statements, image or likeness collected in connection with the conference for any purpose, including exhibiting, distribution, promotion, or advertising. This permission extends to all media formats and markets now known or hereafter devised, in perpetuity.

Release Statement
The Releasor (including any third parties claiming on their behalf) shall waive and forever discharge the Releasee and its affiliates, successors, officers, employees, representatives, partners, agents and any third party claiming through them (collectively, the “Released Parties”) in their individual and/or corporate capacities from all claims, liabilities, obligations, agreements, disputes, damages and other causes of action, known or unknown, which Releasor has or ever had or may in the future have against Releasee or any of the Released Parties arising out of or relating to the Ignite My Fire Female Teen Conference 2024.

The Releasor acknowledges that this Release is created with the explicit purpose of effecting the extinguishment of the rights owed to the Releasor, outlined within clause 1, and shall bind all third parties that may claim on their behalf.

By signing below, you give your child full permission to attend and participate in our event.
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Ignite My Fire Teen Female Conference 2024 Registration

Attendee #1

Attendee #2

Attendee #3

Attendee #4