EmailMeForm
O.M.G Conference REGISTRATION FORM
Please fill out ALL required fields
Name
*
First
Last
AGE
*
D.O.B
*
MM
/
DD
/
YYYY
ex. 02/04/1999
Phone
*
###
-
###
-
####
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Parent/Guardian Name
*
First
Last
Email
*
Emergency Phone
*
###
-
###
-
####
Did you attend last year's conference?
*
Please select
YES
NO
What positive thing do you look forward to from this year's conference?
*
What Conference Are You Attending?
*
Please select
Virtual
*
I grant permission to the Outstanding Mature Girlz Organization to use photographs and/or video of the above named participant from the OMG Conference in publications, news releases, online, and in other communications related to OMG mission.*