Blueprint Conference for Middle & High School Girls

Registration 2012
RETURN NO LATER THAN MARCH 16, 2012
Complete this registration online at www.naascboston.org
Name:

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Home Address: ____________________________________________________________________________________

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Home Phone #: _____________________________________

Email: ______________________________________

Parent Name:

Parent Email: ________________________________

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Parent Phone # (if different than above): _____________________________________

School:

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Have you attended the Blueprint Conference in the past? Yes

T-Shirt Size:

XL

Grade: __________________

No

XXL

There will be space for only 90 girls to attend this years conference. In order for us to select, please answer, in detail, the
following questions:
(1)

Why would you like to attend this particular conference?

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(2)

What does the word sisterhood mean to you?

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(3)

List 3 words to describe yourself and explain why you chose each word.
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Please rank order the issues listed below (1= need most, 6 = need least):
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Race and how it impacts my daily life

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Mental Health/Emotional Health

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Real Talk about relationships, sisterhood, and sex

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Self Esteem

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Nutrition/Health Eating

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Spiritual Well Being

Mail completed applications to:

Boston NAASC
P.O. Box 380457
Cambridge, MA 02338