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2025-2026 Registration

The registration fee of $40 is non-refundable. The registration fee needs to be paid prior to submitting the registration form.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Mentee Information

Name*
Birth Date*
Address*

Parent/Guardian Information

Parent/Guardian Name*
Address*

Other Information

Emergency Contact Name*
Emergency Contact Address*
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

By providing your contact information and clicking the ‘SUBMIT’ button, you agree to resolve any Telephone Consumer Protection Act claims by arbitration. You also give your electronic signature to consent to receive sales, marketing, and other calls and texts. These might be sent by automated systems or with prerecorded voice messages from "company name" and its Family of Companies at your provided number. This applies even if your number is on a do-not-call list. Agreeing to these calls or texts is not required to buy goods or services from us. Text ‘STOP’ to opt-out.