JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
10th Annual Young Ladies of Success Conference: Celebrating Success
Event Timing: Saturday, April 2, 8:30 am - 1:00 pm CDT
Blinn College, Bryan Campus
Questions? Contact us at
ylsuccesstx@gmail.com
*Please fill out one registration per attendee for an accurate lunch count. *
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Option 1
Clear selection
Option 1
Clear selection
Option 1
Clear selection
Option 1
Clear selection
Option 1
Clear selection
Welcome!
Thank you for registering for the 10th Annual Young Ladies Success Conference. The YLS Conference empowers young ladies to create a mindset to succeed in school and in life through engaging and motivational sessions.
Essie Childers, Founding Director
Co-Directors: Dr. Jennifer Hurd and Dr. Phebe Simmons
Door Prizes and $$$ for Scholarships will be awarded.
First and Last Name
*
Your answer
Email Address
*
Your answer
Phone Number (Format 999-999-999)
*
Your answer
Status - Select one option only
*
Parent or Guardian
6-8 Grade
9-12 Grade
College
Other:
How did you hear about the conference?
*
Friend
Facebook or another social media platform
Email
Other:
Students - What career(s) do you plan to pursue?
Your answer
By submitting this registration, I understand the conference will be recorded, available for social media, and personal e-mails will not be shared with other parties.
*
Yes
Required
Celebrating Success!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms