• Peer Connect

    Participant registration form
  • We're so glad you're interested in our Peer Connect program.

    After you complete this registration form, an RVRN staff member will be in touch to share next steps. Next steps include setting up a time for your loved one to meet their RVRN Peer Connect Facilitator, identify a regular hangout schedule, and answer any questions.

    Your answers to the questions below will help us customize your loved one's hangouts with their facilitator so they can have a loving and joyful experience. The registration form will take approx. 15 minutes to complete.

  • Parent/Caregiver information

  • All about your loved one...❤️

    This section is dedicated to learning more about your loved one so we can do our best to embrace and engage them lovingly.
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  • We are inviting Discoverybound's National Leadership Council (NLC) program to apply to serve as RVRN Peer Facilitators. Students in this program are under the guidance of their NLC Class Leaders and mentors.

    Below, we ask that you acknowledge that your loved one might be working in a small group with NLC minors. The NLC student will be paired with an experienced facilitator who is not a minor.

  • Technology

    The Peer Connect hangouts will take place using video conferencing.
  • Multimedia Photo Release Agreement

  • Rainbow Valley Resource Network reserves the right to use photos, video footage, and/or fruitage of staff, adult participants and guests from RVRN funded activities in printed and electronic publications.

    This agreement grants Rainbow Valley Resource Network the right to publish, distribute, and share such images, as described above for the following uses:

    • Print
    • Electronic media, including publications in PDF format, Websites and Social Media
    • Audio/Video
    • Promotional Uses (without attributions)

    Submitted images become the property of Rainbow Valley Resource Network and will not be shared with other organizations without written consent of the person(s) appearing in the photo(s) and/or video(s).

    Rainbow Valley Resource Network reserves the right to modify such images, at its discretion. This agreement also authorizes RVRN to store images internally for future reference and reuse.

    It is our policy not to credit individuals whose images and/or fruitage have been submitted for use in these publications, unless specifically requested and authorized.

    All shared images shall be the original work of the person sharing the images and are not to violate any copyright, contract, or other property rights of any person or organization.

    The signee is not to share such images with other organizations for commercial use without RVRN’s explicit written consent. Such images can be used for personal and professional portfolio purposes.

    Acceptance of this policy is assumed unless otherwise communicated in writing to Rainbow Valley Resource Network. It is the responsibility of participants, chaperones, guests, or their legal guardians/conservators/caregivers to submit, in writing, exclusion from all multimedia/photo publications.                          

  • Payment and Financial Assistance Information

    The cost for Peer Connect is $40/participant.


    Additionally, we ask that parents/caregivers provide and/or purchase a minimal amount of materials, such as cooking ingredients or downloadable handouts.

    Group 1 dates/time: *Mondays from 7:00 – 8:00 pm Eastern

    April 3 | April 10 | April 17 | April 24

    Registration and payments are due by March 27.

  • Finances should not prohibit participation. As with all of our programs, financial assistance is available by completing the RVRN Financial Assistance Application, which can be found on the "Services" page of our website or by clicking here.

  • *Online payment options:

    To make a payment, use the PayPal button below.

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    2023 Peer Connect Product Image
    2023 Peer Connect
    $40.00
      
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  • Please click one of the PayPal options to complete payment and submit the form.

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