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Up and Coming Female Leadership Conference - Pre-Registration

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Parent's First Name*
Parent's Last Name*
Email Address*
Phone Number*
Fax Number
Address
City
State
Zip Code
Please register each child you would like to participate.
Child's First Name*
Child's Last Name*
Child's First Name
Child's Last Name
Child's First Name
Child's Last Name
Registration and Waiver Form
1. I agree
2. I do not agree
All participants will be required to complete the full registration, waiver form and submit $40 payment on the day of check in. Check-in/registration will open on Tuesday, July 16th at 8:00 a.m.

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