Mentoring Workshop Register

    Name of student

    Age

    Name of parent

    Your Email

    Telephone

    Please select the workshop(s) you wish to register for:

    Schedule
    Workshop for Students
    Thursday, September 4
    5:00-6:15 pm

    Workshop for Parents
    Thursday, September 11
    5:00-6:15 pm (for parent of elementary school students)
    6:15-7:00 pm (for parent of high school students)

    Please provide more information about your goals or your child's needs.