I’m Possible Event Application — Sunday, 28th April, 1:00pm to 4:00pm

Thank you for applying to participate in the I’m Possible event! I’m thrilled to have you. There are two parts to the event — Part one is a customized photography session ahead of the event and you will be a featured VIP at the event, and Part two is the event itself. Part one includes Part two, and Part two is participation in the event only. At the event, we will have empowerment speakers and fun activities that will help to build up these tender tweens. I will contact you with further information.

Adult's Name

First Name

Last Name

Adult's Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Adult's Cell Phone

(###)

###

####

Participant's Name

First Name

Last Name

Participant's Age

Participant's Grade

Tween/teen would like to participate in:

Is participant attending with a friend/sibling? (They will need to register separately, but we'd love to know who is already friends). If yes, please note friend/sibling's name.

List any food allergies/dietary restrictions

Tell me a little about your teen/tween. What is your favorite thing about her? Is there something she is struggling with now?

Is there anything else we should know about the participant that will make the experience more enjoyable?

How did you hear about this event?