HerWorld Student Registration

HerWorld Event Registration - Student

REGISTRATION IS NOW CLOSED.
Marriott Courtyard
formerly the Holiday Inn Conference Center - Downtown Decatur
130 Clairemont Avenue
Decatur, GA 30030
404.371.0204

* = required fields

*First Name

*Day Phone

*Last Name

Cell Phone

*Your Grade (Ex - 9 or 10)

Email Address

*Name of Your Parent/Guardian

*Name of Your Educator

*Your Home Address

*Name of Your School

*City

Helpful Information:

Agenda

*State

*Zip

Q&A Sheet

Directions and Parking

*I have my parent's permission to attend HerWorld
(Please enter Yes or No)

*Will you participate in the Early-Bird Workshop at 8:30 a.m.?
(Please enter Yes or No)

	A photographer will be taking pictures during the event. If you would like to be included in the photographs, your permission is required. If you are under 18 years of age - Click Here to print out a release. If you are 18 years of age and older - Click Here to print out a release. RSVP by March 7, 2013.