Session Program Enrollment Form

Session Program Enrollment

The heart of our program is to provide a safe place for youth to experience the hope, healing, and love of Jesus Christ.
Our mentoring programs consist of an 11 - week program offered 4 times a year. The 11-week program consists of an opening intake session/ tour with the Executive Director, 10 sessions one-on-one with a mentor, a 360 review session/ meeting with Director (to evaluate how sessions are going), and a final closing session.

Each session is equipped with activities (animals, life skills, etc.), chores around the farm and devotions (encouraging youth with the hope and love of Jesus Christ).

If you are interested in enolling your child, please fill out the form below to get the process started. Once enrollment is done, the Executive Director will contact you to set up a meeting.
Youth's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade*
Gender*
Parent /Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Session Program Enrollment