Sunflower Sisters Mentoring Application 
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Email *
Name of Pre-Teen *
First and last name
Date of birth *
First and last name
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Contact Number  *
First and last name
Address *
First and last name
Parent/Guardian Name *
First and last name
Parent/Guardian Address *
First and last name
Parent/Guardian Email *
Parent/Guardian Phone number *
Emergency Contact Name *
Emergency Contact Number *
Emergency Contact Relationship *
Required
Why are you interested in the mentoring program? *
What are your expectations for the mentoring program?
 *

Does your pre-teen have any special needs or considerations that we should be aware?

If yes, please specify: ____________________
 *
Required

If you answered 'Yes' to the previous question please specify the special needs below

How did you hear about our mentoring program?

Please confirm you understand this program is only currently open for girls ages 9-13.

 *
Terms & Conditions

By submitting an application, participants and their parents/guardians acknowledge that acceptance into the mentoring group is not guaranteed. All involved parties are expected to conduct themselves respectfully towards fellow participants, parents, guardians, organizers, partners, and others. The organizers retain the right to remove participants from the program at any time, either at the request of the parent/guardian or at their discretion. Confidentiality is paramount, and information shared within the group must be treated as such. The program structure may be modified as necessary, and participants are responsible for staying informed through provided communication channels. Parents/guardians are encouraged to actively engage with the program and provide accurate emergency contact information. Submission of the application signifies agreement with these terms, and the organizers may update them as needed with prior notice. Participants and their parents/guardians also acknowledge not holding Sunflower Sisters liable for any issues or concerns arising from their involvement in the mentoring group.
What is your name? *
Today's Date *
MM
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