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Forms

Registration for Girls

Conference for Girls and Young Women

OLD Dominion University

Community Development Corporation

Saturday, May18, 2013

8:00 am - 2:30 PM



Continental Breakfast and Lunch Provided

Student Registration

Special Assistance Needed

Tee Shirt Size:

Type of Meal

Workshops

Ages 14-18

A. "Beautiful Me"

B. "ARE YOU GAME"

C. "Manage Your Digital Identity Now; So It Doesn't Manage You Later"

D. "Why a STEM Career and Why Not You!"

E. "I Met the Boy of my Dreams and Then I Woke Up!"

F. "FINANCIAL FITNESS FOR TEENS: A WORKOUT IN THE WORLD OF MONEY"

Ages 10-13

A. "BFF - Be a Friend First"

B. "Are You A Diva"

C. "Point Click Connect Protect: Social media"

D. "SMART MONEY: Making It, Saving It, and Spending It"

E. "Girlfriends"

F. Me My-Self and I (Formerly Woman In the Mirror)

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 sign by checking %u2018YES%u2019 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 Consent

As 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).

Old Dominion University-Community Development Corporation%u2013Girls Conference %u2013 4417 Monarch Way FL 4l - Norfolk, VA 23529