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Mentee Registration Form

Parent / Guardian first name:

Parent / Guardian last name:

Parent / Guardian email address:
(to be used as your login username)

Parent / Guardian Cell #:

Receives texts?:

Timezone:

Mentee's first name:

Mentee's last name:

Mentee's email address:
(to be used as mentee's login username)

Mentee's cell #:

Receives texts?:

I acknowledge that the mentee must give 24 hours notice to cancel or reschedule a session, otherwise, that session is forfeited.

I understand that sessions are done primarily through video conferencing via Zoom (or through cellphones should Zoom or Internet not be available). Please make sure that the camera and microphone are working in advance. The Zoom link is included in the email invitation.

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Mentee Registration Form

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