Name of Child (required) Age (required) Grade (required) School (required) Language(s) spoken (required) Parent (required) MotherFather Name of Parent (required) Address (required) Home/Cell Phone (required) Your Email (required) Please indicate your preferred method of communication PhoneEmail Please indicate the best time to contact you Between 9:00-12:00Between 1:00-6:00 Please select the mentoring workshop(s) you wish to inquire about or sign up for: (required) Club Membership Fall 2020 How would you describe your child? What are their needs? Please indicate any information that can be helpful and/or relevant for the purpose of our workshops: (required) Please leave this field empty.