Register for SHE Week 2026! Please register my child for SHE WEEK. Select option... I am able to get my child to the location for each day I would like transportation to and from the daily events (note: Drop off and pick up location where your child can ride the bus to each day's location is the Lynchburg Regional Business Alliance, 300 Lucado Place, downtown Lynchburg. I realize I will need to drop them off by 9:50 a.m. to utilize bus service and I will need to be available to pick them up between 3-3:30 p.m.) Participant's Name First Name * Last Name * What careers are your participants interested in hearing more about? (HR, Medical, etc.) * How can we ensure your participant feels supported, included, and empowered during SHE Week? * Does your participant have any learning, physical or emotional needs? * For food ordering purposes, are there any days your child will NOT be in attendance? * Select option... Monday Tuesday Wednesday Thursday Friday Are there any other days not selected above that the participant cannot attend? (If so, please list the other days not available) * Does your participant have any allergies or food sensitivities? * Select option... Yes No If yes, please specify the allergy. (If no, please put N/A) * Is your participant currently taking any medications? * Select option... Yes No If yes, please specify the medications. (If no, please put N/A) * Parent/Guardian: Name First Name * Last Name * Parent/Guardian Email * Parent/Guardian: Phone Number * Emergency Contact: Full Name; Phone Number and Relationship to participant (Please list all that apply) * Are there any concerns, circumstances or accommodations we should be aware of? * Who is authorized to pick up your participant besides you? Please list full names, relationships, and phone numbers. * Is there anyone prohibited from picking up your participant? * Please indicate below whether you prefer your child to be photographed during the week's activities. * Select option... Yes, I don't mind if my child is photographed during this week's activities. No, I do mind if my child is photographed during this week's activities. Any additional information we should know about your camper? (If no, please put N/A)
