Registration - Heart of a Girl

Registration Information

The Conference is for girls in 6th -12th grade

Pre-Registration is REQUIRED

Cost  $35.00  -  Cash  or  Check  (payable to Triangle Church)

Additional Siblings  Only $20.00/each

Registration begins April 3rd -  Last day to register April 24th

Register Sundays & Wednesdays in the Lobby at the Triangle Church

or call Jaimi Jarvis at (919) 261-0516  or  email heartofagirl@aol.com  

Completed Registrations and Payments may also be mailed to:     Heart of a Girl  c/o Jaimi Jarvis

501 Jumping Frog Lane, Knightdale,  NC  27545

     PLEASE  RETURN WITH  PAYMENT
        Cash   or    Check   (payable to  Jaimi Jarvis)
         
     Name ____________________________

     Address __________________________

               __________________________

     Phone  (______)____________________

Parent Email ________________________

School/Grade  _____________________

Sibling Attending ?  Y   N   Name ____________

Gourmet Pasta Choice (circle ONE)

        Baked Ziti w/ Meat Sauce

            Chicken Alfredo Lasagna         

Roasted Vegetable Pasta Marinara (No Meat)

Includes: Mixed Veggies, Salad, Rolls, Cookie

Parent Permission to Attend 

SPRING 2016 GIRLS CONFERENCE
 
As the parent or legal guardian of _______________________,

I give my permission for her to attend the Spring 2016 Heart of a

Girl Conference.
 
______________________________________
Parent Signature                              Date

OFFICE USE ONLY Payment:     CASH        CHECK  #______ Amount $_________ Date: ___________

 
 

 

 

Please note that photographs and video may be taken during the

conference. These images may be used in future conferences or 

in marketing materials including brochures, posters, website, etc.

 Parent MEDIA RELEASE - 

 SPRING 2011 GIRLS CONFERENCE

As the parent or legal guardian of

 _____________________________,
 

I grant permission      I DO NOT grant permission for my daughter’s photo or likeness to be used in future conferences or in various marketing materials including brochures, posters, website, or the like.

 

_______________________________
Parent Signature                   Date

For Information about this
or other events
Please Call Jaimi Jarvis at (919) 261-0516

Email:  heartofagirl@aol.com