Becoming HER: Event Registration Form 💜
This empowering experience is designed for girls ages 6–18 to build confidence, leadership, self-expression, and identity in a safe and supportive environment. Register your child for this empowering girls' event and prepare necessary details.
Participant Full Name
*
Participant Age
*
6–8
9–11
12–14
15–18
Participant Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Name
*
Parent/Guardian Phone Number
*
Parent/Guardian Email Address
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Allergies or Medical Conditions (If none, type “N/A”)
*
Photo/Media Release Consent
*
Yes, I give permission for my child to be photographed/video recorded for promotional purposes.
No, I do not give permission.
I acknowledge that I am the parent/guardian and give permission for my child to participate in this event. I understand that ElevateHER Network, Inc. is not liable for injuries that may occur.
*
I agree
How did you hear about this event?
Social Media
School
Friend/Family
Community Organization
Other
What does your child hope to gain from this experience?
✨ Reserve My Spot
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