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2022 Mentoring Group Enrollment
2021 Cupcakes and Conversations Mentoring Group for Girls Enrollment Form
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* Indicates required question
Students Name
*
Your answer
Parent Name
*
Your answer
Parent Email Addres
*
Your answer
Mailing Address
*
Your answer
Parent Phone Number
*
Your answer
Student Email Address
*
Your answer
Student Phone Number
Your answer
Student School & Grade
*
Your answer
Student Allergies
*
Your answer
Student T-Shirt Size (Adult Sizes)
*
XS
S
M
L
XL
XXL
Other:
Please include any extra information that you would like to share with us that would help us to better connect with your young lady?
*
Your answer
Are there any specific topics that you would like your young lady to learn about?
Your answer
Are you interested in volunteering with our group?
*
Yes
No
Maybe
If interested in volunteering with our group, what areas are you interested in?
Contacting Parents
Fundraising
Contacting and Researching New Speakers
Website or Social Media Updates
Event Coordination
Other:
If you know of anyone you would like to refer to be a speaker for our young ladies, please list them here.
Your answer
Do you give us permission to take photos and record your child during our meetings? This information may be posted in the media, social media, website, and more?
*
Yes
No
Other:
Do you give permission for your young lady to participate in media contact via Group Me App? This app is used for the girls to stay in touch with one another as well as for us to update them on upcoming events. It is monitored.
*
Yes
No
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