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LIFE – Mentorship Admission & Permission Form

Participant Age Group: 6–18 Years Old


Thank you for enrolling your child in the LIFE - Mentorship Program.

According to our records, your child is under the age of 18. We are required to obtain your legal consent for participation. Please complete and return this form with your child on their first day or upload a scanned version if applying online.

A $35 non-refundable sign-up fee is required to complete registration.


  • Participant Information

  • Parent/Guardian Contact

  • Emergency Contact (Other Than Above)

  • Background Information

Has your child participated in a mentorship program before?

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  • Permission & Acknowledgment
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  • Payment Confirmation

 Secure Payment Gateways

$35 Sign-Up Fee Paid Via:

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jpg, pdf

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LIFE – Mentorship Admission & Permission Form

Participant Age Group: 6–18 Years Old


  • Payment Confirmation

 Secure Payment Gateways

$35 Sign-Up Fee Paid Via:

  •  
  •  
  •  
  •  

jpg, pdf

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