The 10th Annual Conference Registration Form

Student Information

Student Name

Age

Grade

School

County/State

Parent/Guardian/Agency Information **MUST SIGN PERMISSION AGREEMENT BELOW

Agency/School

Parent or Agency/School Contact Person

Address (Street, City, State, Zip)

T-Shirt Size:

Email Address

Cell

Other Phone

Conference Program

Please check the boxes next to the activities you'd like to attend.

1. Mother-Daughter Fitness Walk:

CAC Lobby - 8:15 AM - 8:45 AM Walk across campus. Indoor activity if the weather is bad.

2. Registration/Breakfast/Exhibits/Networking:

CAC Lobby - 8:50 am - 9:40 am STEAM/STEM Expo opens: 9:00 AM. Please check online for exhibitors

3. Morning Plenary:

CAC Theatre 1 (Lobby level) - 9:40 am - 10:50 am Girl Scout flag ceremony (Troup 1116). Keynote presentation by MC President, inspiring messages from women in the Leadership Learning Loop, Gathering of Girls recognition and Every Girl Can Champion awards, Carnations Rising group photo.

BREAK 10:50 am - 10:58 am SNACK, STRETCH, REFRESH, SOCIAL MEDIA SHOUT OUT

4. Leadership Learning Loop (LLL), Girls, 5th to 8th Grade Gardenia Girls - LLL then Workshop Sunflower Girls - Workshop then LLL CAC Lobby CHOOSE Section A or B Session 1: 11:00 - 11:55 am Session #1 - Gardenia Girls Session 2: 12:00 - 12:50 pm Session #2 - Sunflower Girls

4. Section A

5 Leaders 1. Communications/PR 2. Government 3. Media 4. Service/Giving Back 5. Sports

4. Section B

6 Leaders 1. Education 2. Arts/Culture 3. STEM 4. Business / Entrepreneurship 5. Politics 6. Healthcare

5. Workshops for Girls, 5th to 8th Grade “Seeing the Leader in Me” (same workshop, multiple presenters) 11:00 am - 11:50 am Session #1 - Sunflower Girls 12:00 pm - 12:50 pm Session #2 - Gardenia Girls

5th & 6th Grade CAC 2nd Floor, Rooms 201, 203, 204

7th & 8th Grade Health Science Center, Room HC119

6. Discussion Forum on Leadership/Mentoring and Giving Back, Senior Girls, 9th grade and beyond

Cafritz Arts Center, Room CF143: 11:00 am - 12:30 pm

7. Panel Discussion for Women

Discussion Topic: Preparing girls to be confident, respected leaders CAC Theatre 1 (Lobby Level): 11:00 am - 12:30 pm

8. Lunch/Leadership Circle Chat Dine/informal conversations with women leaders & MC students Cafritz Arts Center Lobby 5th, 6th and 7th grade girls return to have lunch at CAC: 12:55 pm - 1:45 pm

9. Closing/Wrap-up Learning review. Social Media Shout out. Good byes. CAC Theatre 1 (Lobby level): 1:50 pm - 2:25 pm

Please pick up children in front of CAC no later than 2:30 PM

*Parents are not required to attend, but encouraged to participate: (1) Mother-daughter fitness walk; (2) Breakfast/Exhibits/Networking; (3) Guest presentations; (7) Panel discussion on pre-paring girls for leadership; (8) Lunch/Networking. Your registra-tion helps us cover the costs of making the conference free for girls.

Tweet - @EveryGirlCan #EveryGirlCanLearn #EveryGirlCan

PLEASE SHARE THIS WITH YOUR NETWORK

**PERMISSION AGREEMENT—Parent/Guardian/Caregiver: I give permission for my child to attend the Every Girl CanTM Conference on March 10, 2018 at Montgomery College, Takoma Park/Silver Spring campus, 9:00 am to 2:30 pm. I release the sponsors of the Every Girl CanTM Conference from any and all liability. I am also aware that Media and photographers/videographers may be present to interview or photograph/film participants and approve the release of such material. In case of emergency, I give my permission for my child to receive medical treatment that may be necessary for her. I understand that the cost for medical care/procedures will be billed to my insurance company or me.

Your Full Name:

Date: