Parental Consent

If the registrant is under 18 years of age, the following must be completed by a parent or guardian.

My daughter's name is: *

Program Participation

I give permission for my daughter to attend and participate in the activities of Dream It, Be It: Career Support for Girls, a program of Soroptimist International of the Americas/LiveYourDream.org.

Media Consent

Parent/Guardian Contact Information

Name *

Home Phone *

Work Phone

Cell Phone *

Email *

Thank you! The registration and parent consent form have been submitted. One of our committee members will contact you to confirm your registration. We look forward to working with you!

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