New Mentee Registration Form
Mentee/Parent Details:
(Please Fill Out One Form Per Mentee)
Mentee’s Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parents Phone Number
*
Parents E-mail for updates and program invoicing.
example@example.com
How did you hear about us?
*
Please Select
Friend
Flyer
Youth Group
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?
Something’s we do will be filmed and photographed for our documentaries, website and podcast, do we have your permission to have you child on camera?
Yes
No
Maybe
Please Choose Which Session Package You Are Interested In And We Will Send You A Separate Invoice Within 24 Hours
prev
next
( X )
ONE Individual Two Hour Session
One Session For One Person For Two Hours
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
ONE 2 Person Two Hour Session
One Session For Two People For Two Hours
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
ONE 3 Person Two Hour Session
One Session For Three People For Two Hours
$
140.00
Quantity
1
2
3
4
5
6
7
8
9
10
ONE 4 Person Two Hour Session
One Session For Four People For Two Hours
$
160.00
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Monthly
Four- Two Hour Sessions For One Person Within One Month
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
2 Person Monthly
Four Sessions Per Person For Two People Within One Month
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
3 Person Monthly
Four Sessions Per Person For Three People Within One Month
$
360.00
Quantity
1
2
3
4
5
6
7
8
9
10
4 Person Monthly
Four Sessions Per Person For Four People Within One Month
$
420.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Should be Empty: