THRIVE!-4-Kids Small Group Mentoring Registration
Date & Time
March 1, 2025 3:30 PM - 5:00 PM
126 out of 127 remaining tickets available
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Youth Age 8-12 yrs old
126 Remaining
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Youth Age 8-12 yrs old
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First Name
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Last Name
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Please choose the best location and day
*
Cypress Pines- Mondays at 4pm
Monterey Pines- Tuesdays at 5pm
Online Via Zoom- Wednesdays at 6:30pm
Emerging Leaders Academy (ages 13-16) Wed's at 6:30pm
Parent/Caregiver's Mobile Number
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Parent/Caregiver's Email Address
*
Gender
*
Male
Female
Date of Birth
*
Ethnicity
*
American Indian - Alaska Native
Asian
Black or African American
Hispanic or Lantino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White or Caucasian
School Grade
*
-- None --
Nursery/Pre-school
Kindergarten
1
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3
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5
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12
Name of School
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