V.O.P.E. (Registration Form)

Registration:May 31st - July 31st Entrance Fee: $120- NEW mentee (Registration fee, group shirt, entry to two designated signature events) $80-RETURNING mentee (Registration fee, entry to two designated signature events). Cash or online bank transfer accepted. Banking information is at the end of this form. Payment can be made on or before July 31st.

Please read the form carefully
*Young females between the ages of 7 years to 18 years to attend two, two-hour sessions twice per month. No new mentee in 12th grade is eligible. Additional information can be found on our website, www.vopelite.com and would be shared during our mandatory parent/guardian meeting.
Student Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email (If applicable)
example@example.com
Student Mobile Number (If applicable)
School*
Grade (upcoming academic year)*
List hobbies, skills & goals *
Please check field that most interest your child

SportsCreative & Fine Arts
List any social or medical issues*
Mother's Name*

First NameLast Name
Mother's Mobile Number*
Father's Name*

First NameLast Name
Father's Mobile Number
Please enter a valid phone number.
Who does child resides with?*
Primary Parent/Guardian cell contact
example@example.com
Upload most recent School Report Card*

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List other extracurricular activities that your child is involved in or will be involved in during the upcoming academic year. Child & parent must balance attendance between extracirricular activities and VOPE in order for child's participation in VOPE to be satitisfied.*
This portion is to be completed for Week of Retreat & Recruitment Exercise ONLY (DATE TBA). RETREAT ACTIVITIES: Tick all that you would be attending (Church Service is mandatory for mentee & parent/guardian ) $10 Fees are separate from fees listed above:*

Church Service (Mandatory)Nature Adventure $10Lock in $10Community Give Away
Attendance and Participation Agreement- Your child is required to attend at least 80% of VOPE sessions—this equates to a minimum of 18 sessions between September and June. In addition, we encourage participation in other organized VOPE activities whenever possible. As the parent or guardian, by signing below, you acknowledge and agree to these terms and commit to actively supporting your child’s involvement in VOPE. Your partnership is essential to the success of your daughter’s experience in the program.

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BANKING INFORMATION:

Commonwealth Bank

Branch #: 21212

Account #: 5201238

Comment:

'Mentee Name' 2025 Registration
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