Elevate Conference Student Registration

LeadHER Elevate

Full Name (First and Last name)

Preferred Name

Email Address

Phone Number

School Name

Gender Level

Age

City/State

Shirt Size

Parent/Guardian Name

Parent Phone Number Contact (for minors)

Section 2: Accessibility & Additional Info

Do you have any dietary restrictions or allergies?

Yes No

Do you need any special accommodations?

Yes No

How did you hear about this conference/program?

Emergency Contact Information:

Name

Relationship

Phone Number

Consent For Participation

I Consent for participating in LeadHer Foundation Elevate Conference 2025. Photo/Video Release

Parent/Guardian Consent