Mentor Sign Up Form

Full Legal Name*

First NameLast Name

Preferred Name/Nickname *

Phone Number*

Please enter a valid phone number.

Mailing Address*

example@example.com

Date of Birth*

Date

Email*

example@example.com

Mentor Type*

Student (high school or college)Adult (coach, teacher, parent, community volunteer)

School/Workplace*

Grade/Position*

T-Shirt Size*

Why do you want to be a mentor?*

What strengths, skills, or experiences will help you in this role?*

Which areas interest you most? (select all that apply)*

Tumble Class AssistantCheer Practice HelperEvent/Performance SupportCharacter Development ActivitiesOnline Mentor (Zoom/Discord/Total Inspiration Anywhere)Leadership & Team Building

Days you are available (select all that apply)*

How often can you participate?*

WeeklyBi-weeklyMonthlyOccasionally (events only)

Emergency Contact*

First NameLast Name

Relationship*

Emergency Contact Phone Number*

Please enter a valid phone number.

Commitment Agreement
By signing below, I agree to:

Be a positive role model for all athletes and participants.
Follow Total Inspiration’s 3 Rules: Effort. Respect. Fun.
Behave in a professional and respectful manner both in person and online — including on social media, text, and all communication platforms connected to Total Inspiration programs.
Communicate kindly and responsibly with coaches, staff, parents, and peers.
Represent Total Inspiration Athletics with integrity, enthusiasm, and good sportsmanship.
Be dependable, arrive on time, and notify a coach or program leader if I cannot attend a session.
Uphold the values of The Inspired Approach — Move. Think. Lead.