LeadHER Academy Registration Form

LeadHER Academy Registration Form

LeadHER Academy High School CohortThe LeadHER Academy High School Cohort is designed to prepare young women for life beyond the classroom by building strong foundations in leadership, financial literacy, and college/career readiness. Through interactive workshops, mentorship, and real-world experiences, participants develop the confidence and skills needed to lead with purpose, manage their finances wisely, and explore future pathways.Our program empowers high school girls to:Lead with Confidence – Learn effective communication, decision-making, and problem-solving skills while building character and self-awarenessGain Financial Savvy – Understand money management, budgeting, saving, investing, and credit to lay the groundwork for financial independencePlan for the Future – Explore college options, scholarships, and career pathways with practical guidance on applications, resumes, and professional skills.By the end of the program, girls walk away with a clear sense of self, the tools to make informed decisions, and the vision to thrive as the next generation of leaders, scholars, and professionals.
LeadHER Academy Founding Cohort
Dear Parents,
This year, we are launching our first-ever LeadHER Academy High School Cohort — our Founding Group! Your daughter will participate in workshops, college/career prep, and also help shape the program for future students.

Timeline: This will take place the last 30minutes of each workshop (Sept–Dec 2025):
- September – Branding: Help define the identity and vision of LeadHER Academy
- October – Curriculum: Provide input on workshops and activities that matter most
- November – Goal Planning: Collaborate on designing goals and measures of success
- December – Solidification & Celebration: Review, refine, and celebrate the program built together
- The program officially launches in January 2026 with this cohort as our first pilot class.
Founding Cohort Benefits:
- Discounted membership rate compared to future participants
- First access to workshops, college tours, and special events
- Unique opportunity to help set the foundation of LeadHER Academy
To ensure families are fully informed and prepared, there will be a parent orientation prior to the start of the 2026 year to review details, answer questions, and share upcoming opportunities.

NOTE: There is no charge for these sessions! (Sept-Dec. 2025)
Student Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Grade Level*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent*

First NameLast Name
Parent E-mail
example@example.com
Parent Mobile Number*
Emergency #1 *

First NameLast Name
Emergency Number*
Emergency #2

First NameLast Name
Emergency Number
Please select the Saturdays you would like your daughter to attend, or choose “All Sessions” to register her for the full HER Saturdays experience. It’s perfectly fine if she cannot attend every date—there is no penalty. Choosing “All Sessions” simply saves you from having to register each month.

Note: We understand life gets busy! Signing up for all sessions keeps things simple and ensures your daughter always has a spot, even if she can’t make it to every Saturday.

Location and Time (Every session):

Fort Worth Southwest Recreation Center

6300 Welch Ave

Fort Worth, TX 76133

Time:

11:30am-1:00m
Saturday Options:

Saturday, Sept.27- "Stress Less Shine More"-Stress/AnxietySaturday, Oct. 25- "HER Superpower"- Positive CharacteristicsSaturday, Nov. 22- "Thankful, Thoughtful, Thriving"- Finding Joy in Everydayype option 3Saturday, Dec. 27- Holiday Break
Parents, we invite you to join us for an important Parent Meeting on Friday, November 22, from 11:30 AM – 1:00 PM. During this time, we’ll discuss the exciting changes coming to IamHER in 2026, including new membership options, updates to HER Saturdays, and ways we’ll continue to Inspire, Educate, and Empower your daughters. Your input and questions are valuable as we prepare for the year ahead, and we’d love for you to be part of the conversation. Please sign up to let us know you’ll be attending!

Yes, sign me up!No, unable to attendUnsure, remind me
Demographics:

The following set of questions are demographic in nature. The answers to the following questions enable IamHER to continue providing community-based services that educate and empower girls.
Participant Ethnicity:*

Black or AfricanWhiteHispanic/LatinoAsianNative AmericanTwo or More
Household*

Both ParentsSingle ParentParent & Step ParentGrandparentsGuardianshipother
Household Income*

$0-$19,000$20,000-$29,000$30,000-$39,000$40,000-$49,000$50,000-$59,000$60,000-$69,000$70,000+
Does you student have any physical limitations*

YESNO
If "YES" explain
Is your student currently on any type of medication needed to be taken during programing ours?*

YESNO
If "YES" explain
Name any Allergies:
Release Waver

Liability release with IamHER as described below.
Please check all boxes for release*

Participation Release: I give my informed consent and permission for my child to participate in the IamHER and its related activities.Termination Release: I agree to have my child follow all mentoring project guidelines and understand that any violation on my child's part may result in suspension and/or termination of the mentoring relationship.ACTIVITY LIABILITY RELEASE:It is understood and agreed that the undersigned shall not bring or cause to be brought an action due to accident,illness including COVID-19,death or personal injury to his/her self, his/her child or property damage that might result from his/her child’s participation in any IamHER sponsored activity,on or off campus, whether under the direct supervision of IamHER, its staff,employees,agents,affiliates,contractors, parents, or teachers.Transportation Release: I hereby acknowledge that my child will not be transported by IamHER staff or representatives while participating in the program, and that such transportation is voluntary and at participants' own risk.PROMOTIONAL RELEASE:I hereby consent to the use of any videotapes,photographs,slides,audiotapes, or any other visual or audio reproduction IamHER in which may appear. I understand that these materials are being used for promotion of IamHER, which includes recruitment and fund-raising efforts. I release IamHER from any liability connected with the use of a picture of voice recording as part of any promotional,recruitment,or fund-raising program.MEDICAL RELEASE:I do give my permission for medical aid to be administered to my child by physician, nurse,EMT,or other medical professional or hospital staff if the need arises.
Signature

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If you have any questions or concerns, please don’t hesitate to reach out. You can contact us by phone at (817)451-6565 (ext 108) or by email or Director at ashley.spriggs@teamiamher.org , and a member of our team will be happy to assist you.

We value your support and look forward to connecting with you!
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LeadHER Academy Registration Form

Demographics:

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