2026 Conference Pre-Registration

First name

Last name

Grade Level

4th or 5th

Middle School (6th, 7th, 8th)

High School (9th, 10th, 11th, 12th)

Please Choose Your Movement Workshop (4th/5th & Middle School Only)

Martial Arts

Dance

Parent/Guardian First & Last Name

Parent/Guardian Phone Number

Emergency Contact Name & Relationship

Emergency Contact Phone Number

How did you hear about this event?

Please list any allergies and/or health limitations

Media Release: By registering, you consent to the use of your name, image, and event photos/videos for promotional purposes by Queens to Be Academy.

To complete your registration continue on to the next page to pay the conference registration fee. Pre-Registration ends on February 1st 2026. The registration price will increase. Email questions to deja@dejacroftllc.com

$13

Paid on Next Page

Would you like to make a donation? These donations make it possible for families experiencing financial hardship to attend our conference (THIS IS AN OPTIONAL DONATION. THIS IS SEPARATE FROM YOUR $13 REGISTRATION FEE)

$10

$20

$30