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Format: (000) 000-0000.
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Format: (000) 000-0000.
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- Preferred Contact Method*
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- Date of Birth*
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- Has she participated in GODDESS Mentoring before?*
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- What would you most like to gain from this program?*
- Which activities would you be most excited to explore?*
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- Can your family commit to consistent attendance on the first and third Saturdays from October through May?*
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- Limited, need-based program fee assistance may be available. Would the program fee prevent your child from participating?*
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- Date Signed*
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- Should be Empty: