2026 Conference Registration

First name

Last name

Grade Level

4th or 5th

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

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

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. The registration price will increase on March 15th. Registration closes on March 21st at 11:59pm. Email questions to deja@dejacroftllc.com

$17

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 $17 REGISTRATION FEE)

$10

$20

$30