Sankofa Mentoring Registration Form 2024- 2025*

I, the parent or legal guardians for youth named above hereby allow my child’s permission to participate in the Sankofa Mentoring

I fully understand that the program involves mentors, who shall be selected from the community and will be screened (including a criminal background check) and trained before beginning in the program. I understand that Mentor(s) will be expected to spend a minimum of two hours per week with my child Online at the Sankofa Program.

PHYSICAL / IN PERSON
York Region Alliance of African Canadian Communities will not be responsible for any loss or damage belonging to your child
• Your child will follow all rules and reasonable instruction while participating in the program.
• York Region AACC board, staff and volunteers shall not be responsible for any loss , damage or injury by anyone in the course of their voluntary attendance and / participation in the Program

I consent to my child's participation in the Sankofa Youth Mentoring program and give him/her my permission to participate. I understand that my child will be participating in various activities with a volunteer mentor, and that he/she will be under that programs supervision during those activities.*

YesNo

I understand that my child's participation in Sankofa Mentoring Program and sponsored activities and specific activities is voluntary.*

YesNo

I understand that I will be expected to attend ONLINE /IN PERSON orientations, meetings and celebrations associated with the program, and will encourage / motivate my child to participate and discuss topics with me.*

YesNo

I give my permission to the Sankofa Program Staff and/or Mentor(s) to pick up, or transport my child for activities and events that are planned and organized by the program in person as per the government mandated protocols.*

YesNo

I understand that my child will be participating in various one-to-one activities with a volunteer mentor, and that he/she will be under that volunteer's supervision during those activities.*

YesNo

I give my permission for my child's name, likeness and speech in any audiotape, videotape, film or photograph, artwork, stories, or quotes made at any Sankofa Capacity Building Program activities for public relations or fundraising purposes of the program. I waive all rights to compensation.*

YesNo

I have been informed as to the purpose and duration of the program. I have also been informed as to the programs expectations concerning the involvement of the mentor(s), my child, and parents.*

YesNo

Sankofa Mentoring Registration Form

Mentoring - PARENT/GUARDIAN CONSENT FORM

Emergency Contact (For Face to Face Interactions)

Parent Consent