Sigma Gamma Rho Sorority, Inc2013 Youth Symposium

Registration Form

Name: _________________________________________________________

Address: _______________________________________________________

City/State: __________________________________________, ___________

Age: Sex: M or F Grade

(circle one)

School Attending: ________________________________________________

How did you hear about the Youth Symposium? ___________________________________________

Parent’s name: __________________________________________________

Parent’s telephone number: ________________________________________

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Would you like to participate in the Talent Contest? Yes or No

(circle one)

Talent: _________________________________________________________

Name of song? __________________________________________________

** (If music is required, contestant must provide music.)

email form to: sgrhoservice@aol.com . (Deadline for mailing is Feb 29, 2013)

H³ It’s All About ME !!