AAYLS GLR Interest Form Feb. 15th-19th

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Hello Ladies! We are so excited that you want to be a part of this year's Global Leadership Retreat. Please complete this form if you want to attend and need a scholarship. With your fundraising and because of our sponsors you only have to pay $75. The real cost of this experience is $1600, we know that most people can't pay this amount. You are required to at least pay $75 total with a deposit of $20 by Jan. 7th. Remember your total cost to you is $75 with some fundraising and because of our sponsors and supporters.

This is an interest form for our AAYLS Leadership Retreat event. Space is very limited for this event. This event is specifically designed for young ladies who want to lead change in our world and lead at the Sista 2 Sista Event on March 7th. We will be engaged in team and leadership building activities most of the time with some fun activities sprinkled in. You are welcome to fill out this form to obtain more information and reserve a spot. These interest forms are preliminary, and we will be following up via email with more details and requirements.

There are only 15 spaces available so only those very serious individuals will participate.

Thank you, AAYLS Team

Email *

First Name

Last Name

School- please write the entire name of your school. Ex. Abraham Lincoln High School

I understand that submitting this form means that I am committed to attend GLR. I know that I need to have my $20 deposit paid by January 7th (Summit VII.) I also understand that will participate in other fundraising efforts but I am only responsible for paying a total of $75 between now and January 15th.

Yes, I understand and will have my $20 paid by Jan. 7th.

I am not sure I will have my $20 by Jan. 15th but will work on it.

What grade are you in?

College

Senior

Junior

Sophomore

Freshman

8th grade

7th grade

6th grade

5th Grade

4th Grade

3rd Grade

Clear selection

Student ID#

Cell Phone #

Email you check most often

Birthday (Required to purchase tickets)

YYYY

On a scale of 1-10, how would you rate your interest in attending this event?

I did not like the event

The event was fantastic!

Clear selection

T-shirt size (Women's)

Other:

Clear selection

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