Student, Parent or Guardian
[This event is for participating Students 6th to 12th Grade]
please complete this form
It's A Mother-Daughter Thing! 2024
DATE: MARCH 12, 2024 TIME: 5:30 PM
3500 6TH AVENUE SOUTH
BIRMINGHAM, AL 35222
*Please fill out form to confirm student/ parent/ guardian participating in the event.
*A Power UP Inc. representative will follow up with a courtesy call on
additional event details.
Thank you in advance for helping us make this event a success!
PARENT / GUARDIAN - COMPLETE THIS SECTION
ALL PARTICIPATING STUDENTS INFORMATION MUST BE COMPLETED
[For Participating Students 6th to 12th Grade]
STUDENT POWER UP ESSAY FORM
[participating students Grades 6th - 12th can enter for a change to win prizes!]