1. A unique opportunity for breakthrough growth and personal development. To help you better understand
what we expect to achieve during this two-day process, here is an
overview.
BELLISM a beauty revolution workshop helps you feel empowered
and confident. It helps you get your mojo working, gives your
perspective a makeover, and celebrates the uniqueness and beauty
of every girl and woman. BELLISM is a Beauty Revolution that can
do great things for you and the world around you. It’s all about
expanding our culture’s narrow definition of “beauty” to include not
just what is on the surface, but all the good things underneath.
presented by: ALEXIS JONES
The following currently exist or are The Seven Fundamentals you’ll learn about in these
being developed for inclusion in the two days are based on many years of research. They’re also
i am that girl training: based on the actual experiences of people from all walks of life.
These Fundamentals are both timeless and leading edge. They
Exercises: to help participants relate to and
own what they are learning make good science and good sense. Using them can help you to
create and enjoy more success and happiness, now and in the
Tools: affirmations, imagery, goal-setting,
journaling, peer support, and more future. As we’ve mentioned, a great deal of research, time and
effort has gone into creating this workshop and bringing it to
Video: relevant 15-minute interviews
professionally branded “edutainment” you. Everything you will hear or read can be validated by other
sources, and nothing you'll learn is controversial. You can rely
Audio and e-learning: Follow-up via our
Web site, podcasts, CDs, etc. on the truth of the material we present, and you can verify it
yourself.
Success stories: to motivate and inspire. Real
testimonials (before & after)
Quotes: from celebrities and others who can Be THAT GIRL and go BELLISTIC!
serve as role models
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2. 2010 Application And Medical Release Form
(one form per child)
NAME: _________________________________________ GENDER: _____________
AGE__________
STREET ADDRESS: ___________________________________________________________________________
CITY: _____________________________________ STATE: ________________ ZIP: _______________
PARENT'S NAME: ______________________________ DAYTIME PHONE NUMBER: ___________________
EMERGENCY CONTACT NAME: ______________________ DAYTIME PHONE NUMBER: _______________
EMAIL ADDRESS:_____________________________________________________________________________
CHECK AGE: Ages 12: _______ 13: _______ 14: _______
COSTS: $150 for one participant
LOCATION: The Balboa Bay Club & Resort
1221 West Coast Highway
Newport Beach, CA 92663
(949) 645-5000
DATES AND TIMES: SEPTEMBER 10th & 11th Fri. 4:00pm - 8:00pm Sat 9:00am 2:00pm
PAYMENT: Make all checks payable to 4MT and mail with application to
25896 Vista Drive West
Capistrano Beach CA. 92624
Upon receipt of registration and full payment, confirmation will be made by
phone or email.
RELEASE FOR MEDICAL TREATMENT
Is tetanus shot current?:________ Date if known :___________Allergies:__________________________________
Physical concerns staff should be aware of : _________________________________________________________
I hereby authorize medical treatment for ______________:_____________________________________________
Signature of Parent/Guardian : __________________________________________ Date :________________
PLEASE READ AND SIGN THE FOLLOWING STATEMENT In consideration of the services provided, I hereby release and hold
harmless, Emily Greener or i am that girl, and its director, employees and agents from any and all liability for injuries, including those resulting in death,
and illnesses incurred while attending workshop or occurring as a result of having attended workshop. I certify that my child is in good health and is
able of participate in all program activities. Furthermore, in an event of an emergency requiring medical attention, I shall pay for the services rendered.
Signature of Parent/Guardian: ___________________________________________ Date: _________________
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