Registration Form

Name *

Full Name

Address *

Phone number *

School, Grade,& Birth date *

Receiving free/ Reduced Lunch *

Yes

No

Race

Let's Be ladies Foundation has permission to use my child's likeness in photos/videos for the use of promoting its organization and program? *

Yes

No

My student has permission to participate in LBLF sponsored events & Field trips, including transportation to / from the location. I understand that I will be notified about any field trips/ events prior to the event. *

Yes

No