Loving Me Loudly Event Sign-Up

Loving Me Loudly Event Sign-Up
ElevateHER Network, Inc.

Event Date: Saturday, July 18, 2026 Time: 10:00 AM–1:00 PM

Location: Multicultural Family Center Address: 1157 Central Ave, Dubuque, IA 52001

This form is only to confirm your daughter’s attendance for our next ElevateHER event, Loving Me Loudly: Body Positivity Experience. If you completed the Grand Opening form, you do not need to complete a full registration again.
Parent/Guardian Full Name
Parent/Guardian Phone Number
Daughter’s Full Name
Daughter’s Age
Did your daughter attend the ElevateHER Grand Opening?
Can your daughter participate in light movement and the self-defense class?
Emergency Contact Name
Emergency Contact Phone Number
I give permission for my daughter to participate in ElevateHER Network’s Loving Me Loudly: Body Positivity Experience on Saturday, July 18, 2026.
Should be Empty: