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AAFE 2017 Black Girl Power Conference Registration Form Saturday, October 7 • Mills College
The Oakland Unified School District, Office of Equity and African American Female Excellence are proud to present the 1st Annual Black Girl Power Conference, Saturday, October 7 - 9:00 a.m. to 4:00 p.m.

The goal of the BGPC is to activate the power of Black girls and young women. This conference will present workshops focusing on the particular experiences of Black girls and young women through: love, cultural enrichment, life skills development, academic and professional development, womanhood development, career development and more.

To register, please complete the questions below.

For immediate questions about the conference or the OUSD African American Female Excellence initiative, please email: AAFE.achieve@gmail.com.

Thank you!
Space

ADDENDUM1: We ask that attendees & chaperones, please limit registration to 30 students so that we can accommodate all schools as individuals wanting to attend.

ADDENDUM2: Please note that we do have space limitations. Once we arrive at the number, we will begin a waitlist.

I. GENERAL INFORMATION
Tell us about yourself.
I am a_______:
Who are you registering for?
Name - First and Last
Your answer
Email Address
Your answer
Write Email Address Again
Your answer
Name of School
Your answer
School I.D. #
Your answer
Age
Your answer
II. SUPPORT
Please provide information on who is attending with you as well as emergency contact information.
Primary Parent/Guardian Name
Your answer
Primary Parent/Guardian Phone Number
Your answer
Emergency Contact Name and Number
Your answer
Full Name School Counselor or Parent Chaperone (attending with you)
Your answer
Phone Number of School Counselor/Chaperone (attending with you)
Your answer
III. DIETARY NEEDS
Dietary Restrictions
IV. WORKSHOP SESSIONS
What workshops are you interested in attending? Please select one workshop you/your student would like to attend for each workshop session series.
Workshop Session 1: Healing Self, Each Other & Community. Please select one workshop you/your student would like to attend for session two.
Workshop Session 2: Academic and Professional Preparation. Please select one workshop you/your student would like to attend for session one.
Workshop Session 3: Arts, Culture, Politics & Herstory. Please select one workshop you/your student would like to attend for session three.
V. PROMOTIONAL INFORMATION
How did you hear about this event?
Shirt Size
Thank You!
Thank you for registering for what will be a phenomenally powerful conference. We have logged your registration and will be sending weekly updates.
Notes:
• Workshops: We will do our best to seat you in the workshop of your choice. Workshop availability and titles subject to change.
• If you need to adjust your registration, please email us at AAFE.achieve@gmail.com
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