Parental Consent Agreement

If you have previously entered your consent information for Apply for the 2015 Discovery Girls Leadership Summit, click here to resend instructions ono how to complete the confirmation process.

Parental Consent Form
*This form MUST be filled out by a parent.

Activity: Apply for the 2015 Discovery Girls Leadership Summit

The information collected will consist of your child's name, birthdate, email address, photos, and answers to questions about her interests and opinions on subjects that affect tween girls.

Link to Activity: Apply for the 2015 Discovery Girls Leadership Summit

Your first and last name.
First names of the children you are giving consent for. If listing more than one, separate names with a comma.
Address that should be used to verify your consent.
Please re-enter your email address.
Please enter your birthdate—not your child's. This information is not stored and is used only for verification purposes.