Back 2 The Basics: LeadHER Legacy Youngstarz Vibe Workshop Series for Girls (Ages 13

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Youth Name*

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Age*

Date of Birth*

Date

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Participant's Phone Number

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Participant's Email Address*

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Address

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School*

Grade Level*

Expected Graduation Year*

Student's Hobbies*

i.e. sports, music, poetry, video games, etc.

What do you hope your child gains from this workshop series?*

How would you describe your child’s personality?*

What are your child’s biggest strengths?*

What challenges does your child face at school, socially, or emotionally?*

Do you have any concerns or questions you'd like to discuss before the program begins?*

Does your child have access to a computer and reliable internet connection to participate in this program?*

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Does your child have any allergies, medical conditions, or special needs we should be aware of?*

Parent/Guardian's Name

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By checking the following boxes and signing this form, I agree:

By enrolling in the program, you give permission for your child to be photographed or recorded during sessions or events for promotional, educational, and social media purposes, unless otherwise noted on your registration form.Participants are expected to follow rules of respect, cooperation, and safety. Repeated disruptive, unsafe, or disrespectful behavior may result in temporary or permanent dismissal from the program at the discretion of program leadership."Back to the Basics" does not provide transportation services unless otherwise specified. Parents/guardians are responsible for ensuring safe and timely arrival and departure from all program activities.This program is not a substitute for medical, psychological, or therapeutic services. If your child requires professional care, please consult with a licensed healthcare provider. Staff and mentors are not licensed clinicians and will not administer medication or provide medical care.The "Back to the Basics" Youth Mentoring Program is designed to provide guidance, education, and positive mentorship. While we aim to offer a safe and encouraging environment, participation in the program does not guarantee specific outcomes. Parents and guardians remain ultimately responsible for the well-being and supervision of their child outside program hours.While mentors will respect the privacy of participants, confidentiality cannot be guaranteed in cases where there is a concern for the safety or well-being of the youth or others. In such cases, appropriate authorities may be notified.

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Date

My Products

Back 2 Basics LeadHER Vibe Workshop Series Deposit Product Image

Back 2 Basics LeadHER Vibe Workshop Series DepositTotal investment is $1000. Coach K is currently offering the 7 series workshop program package at $299. This includes digital workbook, Back 2 Basics T-shirt, 7 virtual sessions, and Certificate of Completion. All payments are non-refundable. Only 20 slots available. First come, first serve. First cohort starts on October 13, 2025-December 4, 2025.

$299.00

LeadHER Legacy YoungSTARZ Session 1: Confidence & Mental Strength (Next Session Scheduled for October 16, 2025)

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 2: Own Your Voice: Lead The Future (Public Speaking & Mastering Your Elevator Speech) Next Session Scheduled for October 23, 2025

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 3: The Power of Active Listening (Next Session Scheduled for October 30, 2025)

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 4: Finding Your Purpose-Identifying Your Unique Strengths & Talents (Next Session Scheduled for November 6, 2025)

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 5: Balancing Time School & Life (Next Session Scheduled for November 13, 2025)

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 6: Building Your Customized LeadHER Legacy Toolkit (Vision Mapping) Next Session Scheduled for November 20, 2025

$50.00 Quantity

LeadHER Legacy YoungSTARZ Session 7: Shine Beyond The Series: Becoming The Legacy (Next Session Scheduled for December 4, 2025)

$50.00 Quantity

Total

$0.00

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Back 2 The Basics: LeadHER Legacy Youngstarz Vibe Workshop Series for Girls (Ages 13–19)

Empowering young girls to lead, grow, and thrive—one session at a time.

Ready to invest in the next generation of confident, purpose-driven young women?

Parent/Guardian Information

Payment Details

Back 2 The Basics: LeadHER Vibe Workshop Participant Agreement