Conference Registration Form with Payment

Conference Registration

Please book for the OMG! I’M GROWING UP Retreat by completing the form for each young girl (8-17) attending & submitting PAYMENT ($100) upon COMPLETION!
ALL DETAILS FOR THE EVENT WILL BE SENT AFTER PAYMENT IS RECEIVED.

Only the girls who are FULLY PAID & REGISTERED will be accepted! NO EXCEPTIONS!!!!!
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
AGE
DATE OF BIRTH

MonthDayYear
Date
ALLERGIES OR DIETARY RESTRICTIONS:
T-Shirt Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accessibility Requirements
$100 Payments are processed through CASH APP Only. $AllThingsMarlesia

Subject: "OMG!+ Child Name"