Conference for Girls and Young Women
OLD Dominion University
Community Development Corporation
Saturday, June 2, 2012
8:00 am - 2:00 PM
Continental Breakfast and Lunch Provided
Special Assistance Needed
B. "Body Talk (known as Lady in the mirror)"
C. "Relationship Reality Show"
C. "Loving You and Doing Me"
D. "Sugar and Spice But That's Not So Nice"
Registration is on a first come, first serve basis. You will be placed in your 1st choice unless the workshop is already full.So, please be sure to make an alternate choice.
Parental/Guardian Consent*Some workshops during the conference may require parental consent for participation. Please read and check 'YES' below as a form of parental consent and signature giving your child permission to attend those sessions. No exceptions allowed. (If you are a sponsor bringing a group of girls each girl is required to complete a separate registration form.)
,hereby certify that I am the parent and/or legal guardian of
do hereby give my consent for his/her participation.
Media Release ConsentAs a form of signature check "YES" below stating: I give permission that my child may be filmed/photographed/interviewed by the media during this conference and herby authorize the use of my child's image/photograph/voice for promotional and educational purposes (including but not limited to brochures, booklets, videotapes, reports, press releases, web sites, and exhibits).