3rd Annual Mind Masters

3rd Annual Mind Masters Wellness Workshop

Youth entering 6th-8th grades in August 2026 and their parents are invited to join us for a FREE workshop on Saturday, August 29 from 8:30am-12pm at Jefferson High School. Students and parents will be grouped separately for sessions on mental and emotional wellness, as well as safety on social media and online. The event will also include a resource fair for parents to learn about local organizations and agencies the provide services and resources for students and families. Mind Masters is open to ALL families with the goal of providing youth with the tools needed to maintain a healthy mind and strong heart while parents understand how to support them during this transitional years. Beverages and light snacks will be provided to all participants throughout the morning.
Youth's Name

First NameLast Name
Youth's Grade for the 2026-27 school year
Youth's Age (as of Aug. 20, 2026)
What school does the youth attend?
Youth Email Address, if applicable. (The Vincent Jackson Family Foundation will copy parents on ALL communications sent to youth participants. Email communications may include opportunities for follow up virtual sessions with speakers, additional mental/emotional wellness information and activities, etc.)
example@example.com
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Re-Enter Parent/Guardian Email
example@example.com
Parent/Guardian Cell Phone
Format: (000) 000-0000.
Parent Guardian Work/Other Phone
Format: (000) 000-0000.
Parents are invited to stay throughout the duration of the workshop to attend sessions with local psychologist Dr. Nekeshia Hammond and a session on online health and safety from ReliaQuest and Selah Freedom. The event will also include a resource fair for parents to learn about local organizations and agencies the provide services and resources for students and families.
Will the parent/guardian above stay for parent programming and the resource fair?
We would love for all parents who wish to attend the event to receive an opportunity to do so. Please fill out the section below ONLY if another parent will attend.
Additional Parent/Guardian Attending Mind Masters

First NameLast Name
Parent/Guardian Email
example@example.com
Youth attendees will receive the opportunity to engage in an interactive workshop/therapeutic activity based on their interests. Please select a first and second choice below:
What is the youth participant's preferred option for the interactive workshop/therapeutic activity?
What is the youth participant's alternate choice for the interactive workshop/therapeutic activity?
Does the participant have any medical conditions of which we should be aware?
If yes, please explain medical condition:
Does the participant have any food allergies:
If yes, please indicate food allergies:
At the conclusion of the event your child will:

Other
If your child will leave with another family attending the event, please put their name here:
If your child will get picked up by another adult besides the name listed above, please put their name here:
If you checked "Other", please include more detail here:
Please provide your consent for your student to participate in the social media and online safety session presented by ReliaQuest and Selah Freedom. Through Selah Freedom's training, youth will be educated on the online recruitment tactics of predators and will leave equipped with practical ways to discuss this issue, protect themselves online, and be a part of the solution.
WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT AND PHOTO/VIDEO RELEASE: In consideration of participation in the Vincent Jackson Family Foundation (VJFF) Mind Masters Wellness Workshop, and/or use of the property and facilities where the event is being held, I agree, for minority participants under my care listed above, to the following: I agree to observe and obey all posted rules and warnings and any oral instructions provided at or by event staff and Vincent Jackson Family Foundation, their agents, employees, representatives, officers and directors. I understand there are inherent risks associated with the above referenced activity, including physical injury or even death. I acknowledge and understand participation includes possible exposure to and illness from infectious diseases including, but not limited to, COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; I assume all risks and take full responsibility for any personal injury, property damage, or other loss to minority members of my family listed above and further release, discharge, and covenant not to sue the Vincent Jackson Family Foundation, the event location, their employees, representatives and agents (“Releasees”) for all injury, damage, or loss, arising out of my, my family’s, or my minorities under my care, participation in the above referenced activity or use of the property and facilities, whether caused or contributed to by myself, my family, Releasees, or other third parties. I further agree to defend and indemnify Releasees from any claims, causes of action, damages, judgments, costs and expenses, including attorneys’ fees, which may arise from my, my family’s or minorities under my care participation in the above event, presence upon the property or use of the facility. I, on my behalf and (if applicable) on behalf of any minor family member or participant listed above, give VJFF the right to photograph, film and/or videotape me and (if applicable) any minor family member or participant listed above and/or to otherwise record our image and/or likeness and to use, publish, display, reproduce, copy and distribute our image and/or likeness, in all forms of media now known or later developed, including on the Internet, for promotional activities. I further understand that VJFF shall not be responsible for unauthorized duplications/use of our image and/or likeness by third parties on the Internet or otherwise. I, on behalf of myself and all other releasees listed above, release VJFF from any claims that may arise regarding the use of my image and/or likeness including any claims of defamation, invasion of privacy or infringement of moral rights, rights of publicity or copyright. I,on my behalf and on behalf of any minor family members or minorities in my care listed above, acknowledge that I have carefully read this agreement and fully understand the terms and that I am under no pressure to agree with this agreement and that I have been given a reasonable opportunity to review this agreement before submitting. To accept these terms and agree to this health waiver and release of liability, please click I AGREE below.
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3rd Annual Mind Masters Wellness Workshop

We would love for all parents who wish to attend the event to receive an opportunity to do so. Please fill out the section below ONLY if another parent will attend.

Youth attendees will receive the opportunity to engage in an interactive workshop/therapeutic activity based on their interests. Please select a first and second choice below: