REGISTRATION FEE: $50

Note: Registration is a three-step process.

Step 1: Complete Registration Form Below

Step 2: Confirm information when prompted

Step 3: You will be automatically forwarded to the online payment portal

If you prefer to mail or fax your registration, please download the form.

For group registrations of 10 or more, please contact Leslie
@ 214 457 3026.

Name:
Date of Birth:
Organization/School:
Grade:
Age:
Address:
City:
State:
Zip:
Email Address:
T-shirt size:
Parent or Guardian confirms permission for girls' attendance (enter name as signature)
Disclaimer: I, individually and for my Child and my Child's other Parent, further do hereby indemnify and hold harmless said Releases against any and all losses, and/or expenses (including but not limited to legal fees) tht may incur as a result of claims made as a result of my Child's participation in the Activities. Submission of this form implies that you agree to the terms of this disclaimer.

Group Registration download registration form for group submissions
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at the Girls Living Life on Purpose EMPOWERMENT CONFERENCE
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Become a Sponsor support and partner with us as we empower young girls in our community
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GIRLS LIVING LIFE ON PURPOSE . P.O. Box 170727 . Dallas, TX 75217 . Ph: 214-457-3026