New Mentee Registration Form

Mentee/Parent Details:

(Please Fill Out One Form Per Mentee)

Mentee’s Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parents Phone Number*

Format: (000) 000-0000.

Parents E-mail for updates and program invoicing.

example@example.com

How did you hear about us?*

If a specific person please give their name so we can thank them for the referral. If not a person type N/A*

What are the most important things you would like your child to get from being apart of the Never Fold Movement Mentorship Program?

Do you have any particular concerns we need to focus on with your child?

YesNoMaybe

Please Choose Which Session Package You Are Interested In And We Will Send You A Separate Invoice Within 24 Hours

ONE Individual Two Hour Session

One Session For One Person For Two Hours

$60.00 Quantity

ONE 2 Person Two Hour Session

One Session For Two People For Two Hours

$100.00 Quantity

ONE 3 Person Two Hour Session

One Session For Three People For Two Hours

$140.00 Quantity

ONE 4 Person Two Hour Session

One Session For Four People For Two Hours

$160.00 Quantity

Individual Monthly

Four- Two Hour Sessions For One Person Within One Month

$200.00 Quantity

2 Person Monthly

Four Sessions Per Person For Two People Within One Month

$300.00 Quantity

3 Person Monthly

Four Sessions Per Person For Three People Within One Month

$360.00 Quantity

4 Person Monthly

Four Sessions Per Person For Four People Within One Month

$420.00 Quantity

Total

$0.00