HER Saturday's Registration Form

HER Saturday Registration Form

We believe that every girl deserves the opportunity to shine brightly and reach her full potential. Our program is a transformative journey designed to inspire, educate, and empower young girls to become confident, resilient, and successful individuals.Through personalized empowerment, interactive workshops, and engaging activities, we provide a safe and supportive space for girls to explore their passions, set ambitious goals, and develop crucial life skills.
Upcoming

We’re excited to share what’s ahead for IamHER! Beginning January 2026, IamHER will introduce a membership option to make it easier for families to access the full experience. For example, a fee per year membership will include access to all workshops, an IamHER shirt, incentives, special trips, and guest speaker sessions. Families who prefer not to join as members may still choose to pay per session or activity individually.

To ensure families are fully informed and prepared, there will be a parent orientation prior to the start of the semester to review details, answer questions, and share upcoming opportunities.
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
Location: (School Name/Church Name/Recreation Center)*
Transportation (please check the form of transportation after the session)*

Parent Pick UpWalkerUber/Lyft Pick Up
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 EverydaySaturday, 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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Date

MonthDayYear
Date
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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HER Saturday Registration Form

Demographics:

Release Waver