I Am Amazing Registration

Name of Participant

Participant Birth Date

Grade level for School Year 2021-2022

Parents Name

Mailing Address for Correspondence and Packages (Street and Apt #, City, State, Zip Code)

Cell Number

Email Address for the Young Lady:

Dear Adults, all emails will be cc'd to you. Is this acceptable? Dear Adults, all emails will be cc'd to you. Is this acceptable? Yes No

Food Allergies or Preferences:

**For the Young Lady** Pinterest Board Project - Please make a Pinterest Board so you can share with the class. Title it "Introducing Me!" Add your favorite colors, flowers, places to visit, things to do, hobbies, movies, foods, etc. Make it pop with your personality! Be prepared to share it with the class during the second week. Have fun! You can do this on your parent's account or if you have your own, do so. Can you do this? * **For the Young Lady** Pinterest Board Project - Please make a Pinterest Board so you can share with the class. Title it "Introducing Me!" Add your favorite colors, flowers, places to visit, things to do, hobbies, movies, foods, etc. Make it pop with your personality! Be prepared to share it with the class during the second week. Have fun! You can do this on your parent's account or if you have your own, do so. Can you do this? * Yes No

**For the Young Lady** Please answer this question. What would you like to do to make the world a better place? I look forward to your answer. Thank you! *