Clone of Pearls, Kings & Promises REGISTRATION (18+)

  • PEARLS, KINGS & PROMISES (Minor- Parental Form

    This form to be filled-out or supervised by a parental guardian. Welcome to the beginning of a rewarding journey. Please fill out each detail below. It will be reviewed and a PKP coordinator will get back to you within 48hours. 

  • PARENT/GUARDIAN INFORMATION

  • Relationship to child*
  • Format: (000) 000-0000.
  • Preferred method of communication*

  • CHILD / STUDENT INFORMATION

  • Gender*
  • Date of Birth*
     - -
  • Grade Level*
  • Does your child have access to internet & device for virtual classes?*

  • PARENT INSIGHT ABOUT CHILD

  • What areas would you like PKP to help your child grow in?*
  • Has your child participated in mentorship or coaching before?*

  • STUDENT/ CHILDS INTERESTS & GOALS

    Parent may complete with child.

  • WELLBEING & SAFETY

    (Include disclaimer: PKP is mentorship & coaching — not medical or clinical therapy.) Non-Detailed medical questions are asked to be aware incase of physical gatherings where activities are expected and edibles are served.
  • Is your child currently receiving counseling or therapy?*

  • PRROGRAM COMMITMENT

  • Parent agrees that child will:*

  • MEDIA & PARTICIPATION CONSENT

  • 1.) Parent/Guardian Consent Statement:I grant permission to the PKP, for my child to participate in virtual sessions and group discussions & in-person conferences and/or events. I also understand that photo and/or video recordings may be used for PKP promotional purposes. 2.) I understand that Pearls, Kings & Promises (PKP) is a faith-centered mentorship and life development network. I give permission for my child to participate in mentorship activities and understand that PKP provides coaching and guidance, not licensed medical or mental health therapy.*

  • OPTIONAL But Recommended

  • Are you interested in occasional parent support sessions?

  • Thank you for trusting us to join you in raising champions. We look forward to walking this journey with you. 

    We truly appreciate your interest in having your child become a part of our community. Your application will be reviewed and responded to within 48hours. While you wait, we encourage you to revisit our website to learn more about the program, its mission, expectations, and the opportunities available to our members.

    Please note: if your application is approved, there will be a one-time registration fee of $40, and further instructions will be provided at that time.

    Thank you again for your interest. We look forward to connecting with you soon!

    GRACE FORLU  (Lead Mentor /Coach)

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