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

Registration: June 1st - July 31st Entrance Fee: $160- NEW mentee (Registration fee, uniform, two designated signature events) $80-RETURNING mentee (Registration fee, 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. All applicants must have attended Mandatory Information Session.

Other
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)
Format: (000) 000-0000.
School
Grade (upcoming academic year)
List hobbies, skills & goals
Please check field that most interest your child
List any behavioral or medical issues
Mother's Name

First NameLast Name
Mother's Mobile Number
Format: (000) 000-0000.
Father's Name

First NameLast Name
Father's Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Who does child resides with?
Primary Parent/Guardian cell contact
example@example.com
Upload most recent School Report Card

Cancelof
Upload most recent photo of applicant

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List other extracurricular activities that your child 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 attendance is mandatory for mentee & parent/guardian ) $10 Fees are separate from fees listed above:
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 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 organization.
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