2025 Emerging Diamonds Mentorship Program Waitlist

2025 Emerging Diamonds Mentorship Program

Waitlist Form
Welcome to our 2025 Mentorship program for girls 10+. Please fill out the details below:
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Child 1

First NameLast Name
Age
Child 2

First NameLast Name
Age
Child 3

First NameLast Name
Age
Location
eg. Hamilton, ON
Please select the primary reason for signing up your child(ren)
What are your main areas of interest? Check all that apply

Self-EsteemConfidenceMindsetCommunications skillsEmotions ControlSelf leadership & organizationGoal settingMental resilienceAcademic performanceTime ManagementSexuality & sex educationPersonal Hygiene and groomingDrug & Digital abuseHealthy habitsPeer pressure & influenceConflict ResolutionEntrepreneurshipFinancial LiteracyOther
By submitting this form I agree to being contacted by Youthversity Academy with updates regarding the girls' mentorship program.
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