Form

My Black is Beautiful Registration Form

Please complete the form to register for the workshop. If you are registering a group of 6 or more girls, upload a document listing each participant's full name, age, email, school, t-shirt size and dietary restriction if applicable. Registration will close on May 13th or when capacity has been met.
"Hi Beautiful!

Pre-Registraion is now closed.

Don't worry, it's not too late! We will be accepting on-site registration on the day of the event. Please arrive by 8:30AM for onsite registration.

Hope to see you there!"
Group Registration? *

Yes No
Group Name:
Group Contact:

First Name Last Name
Contact E-mail:
Contact Number:

- Area Code Phone Number
Upload Group Form
Would you like to attend the adult sessions?

Yes No
Participant 1:

First Name Last Name
(1) Age:
(1) E-mail:
(1) School:
(1) First time attendee?

Yes No
(1) Would you like a MBIB bag?:

Yes No
(1) Dietary Restriction?

Yes No
(1) List Restrictions:
Register 2nd Participant?

Yes No
Participants 2:

First Name Last Name
(2) Age:
(2) E-mail:
(2) School:
(2) First time attendee?

Yes No
(2) Would you like a MBIB bag?:

Yes No
(2) Dietary Restriction?

Yes No
(2) List Restrictions:
Register 3rd participant?

Yes No
Participants 3:

First Name Last Name
(3) Age:
(3) E-mail:
(3) School:
(3) First time attendee?

Yes No
(3) Would you like a MBIB bag?:

Yes No
(3) Dietary Restriction?

Yes No
(3) List Restrictions:
Register 4th participant?

Yes No
Participants 4:

First Name Last Name
(4) Age:
(4) E-mail:
(4) School:
(4) First time attendee?

Yes No
(4) Would you like a MBIB bag?:

Yes No
(4) Dietary Restriction?

Yes No
(4) List Restrictions:
Register 5th participant?

Yes No
Participants 5:

First Name Last Name
(5) Age:
(5) E-mail:
(5) School:
(5) First time attendee?

Yes No
(5) Would you like a MBIB bag?:

Yes No
(5) Dietary Restriction?

Yes No
(5) List Restrictions:
Parent/Guardian:

First Name Last Name
E-mail
Phone Number

- Area Code Phone Number
My daughter(s) has participated in the past:

Delta Academy Delta GEMS Neither
Would you like information on:

Delta Academy (11-14 yrs) Delta GEMS (14-18 yrs)
How did you learn of this event?: *

I participate in Delta Academy/Delta GEMS A member of Delta Sigma Theta Sorority, Inc. Friend Social Media Community Calendar Event Flyer Church Other option
Which Chapter?: *

Evanston North Shore Alumnae Chapter Other option
Which Social Media *

Evanston North Shore Alumnae Chapter's Facebook Page Another Facebook Page Twitter Other option
Print prior to submitting your registration form. All questions should be emailed to MBIB@dstevanston.org.
Should be Empty:

My Black is Beautiful Registration Form