Clone of Adelante Mujer Conference Registration 2025

Participant Registration Form

You must register to attend. Registration closes February 28, 2026, or when full.
Are you a student, parent/guardian or a school counselor?*

Student / Parent Information
Student Full Name*

First NameLast Name
Student Phone Number*
Student Personal Email Address (e.g., Gmail, Yahoo, Outlook — not a school email)*
FreshmanSophomoreJuniorSeniorCollege
School*
Please share the name of your school.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Personal Email Address (e.g., Gmail, Yahoo, Outlook — not a school email)*
Parent/Guardian Phone Number*

Career aspirations
Optional: What career or field are you interested in or currently pursuing?
FriendNewsRadioSocial MediaSchool/ School CounselorWebsiteOther

Safety & Dietary Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Optional: My parent/guardian would like to talk to someone before the conference.
Dietary Needs & Allergies: With advance notice, we will try to accommodate dietary needs and allergies. Please list any requirements below.

Student Media Release & Photo/Video Authorization
Yes — Photos & videos may be used. My child’s photos and videos may be used. My child’s name will not be used.Limited — No photos or videos. Written mentions only. No photos or videos.No — No media use. No photos, videos, or written mentions.
Participant (Student/Attendee) Name:

First NameLast Name
Parent/Guardian Name (if participant is a minor)

First NameLast Name
I hereby grant permission to the League of Mexican American Women (LMAW) and its representatives to take and use photographs, video, and/or digital images of my child or myself, in whole or in part, for promotional, educational, or informational purposes. This may include use on the LMAW website (www.fresnocountylmaw.org), social media channels, printed materials, publications, presentations, and other communications. I understand that: These images and recordings may be used without further notice or compensation. The League of Mexican American Women owns the rights to the media and may edit or publish it at its discretion. My child’s or my name and identity may be used in connection with the images unless I request otherwise in writing.*

Clear

If there’s anything you’re unsure about or need help with, let us know here before submitting your form.

School Counselor Registration & Group Coordination
Please note: Each student will need to submit a registration form to attend. This event has limited seats. We encourage early registration to ensure all students are able to attend.
School Counselor Name*

First NameLast Name
School Counselor Email*
example@example.com
School Counselor Phone Number*
School Counselor School*
Counselor School name (if not listed above)
How many students will you bring? *
Please share student names, personal emails and school, or attach a list (recommended for groups of 6+ students). Individual registration is required.
Upload student list (PDF, DOC, DOCX, XLS, XLSX, CSV).

Browse Files

Cancelof
Are any special accommodations needed? (e.g., early departure, separate arrival times, accessibility needs, etc.)
Dietary Needs & Allergies: With advance notice, we will try to accommodate dietary needs and allergies. Please list any requirements below.
Media Release & Photo/Video Authorization
Yes — Photos & videos may be used. My photos and videos may be used. My name will not be used.Limited — No photos or videos. Written mentions only. No photos or videos.No — No media use. No photos, videos, or written mentions.
I hereby grant permission to the League of Mexican American Women (LMAW) and its representatives to take and use photographs, video, and/or digital images of my child or myself, in whole or in part, for promotional, educational, or informational purposes. This may include use on the LMAW website (www.fresnocountylmaw.org), social media channels, printed materials, publications, presentations, and other communications. I understand that: These images and recordings may be used without further notice or compensation. The League of Mexican American Women owns the rights to the media and may edit or publish it at its discretion. My child’s or my name and identity may be used in connection with the images unless I request otherwise in writing.*

Clear
Should be Empty:

Participant Registration Form

Student / Parent Information

Career aspirations

Safety & Dietary Information

Student Media Release & Photo/Video Authorization

School Counselor Registration & Group Coordination

Please note: Each student will need to submit a registration form to attend. This event has limited seats. We encourage early registration to ensure all students are able to attend.

Media Release & Photo/Video Authorization