SCHOOL DAYZ ACADEMY

SCHOOL DAYZ ACADEMY 2024-2025

100 Hour Mentorship & Enrichment Program
Participant #1 Information

Firt NameLast Name
Camper #2 Information

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Phone
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

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Email
example@example.com
Race/Ethnicity
Middle or High School

Other
Age of Child #1
Age of Child #2
Parent Information

First NameLast Name
Phone Number
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Email
example@example.com
How did you Learn About the program
Please describe Other(school, church, civic group)
Number of people living in the household
Household Income Limits are based on family size. Please check the range of your income
One Parent Orientation Meeting will be held on Saturday, September 28 2-4. Alternative Orientation will be Monday, September 30 at Noon. Location: 645 Hawthorne Avenue (Divas Who Win)Bring teen + a friend. Parent Session is mandatory for enrollment. Will you attend with your teen
My Child would benefit from tutoring
Mentorship Program will be hosted September 29, 2024-April 28 2025. Mentee will meet with team & leaders bi monthly, the 2nd & 4th Monday Monday 4-7:30 and FOUR Saturdays(6-8 hours) for excursions throughout the school year. Is there any specific challenge or opportunity you’d like our team to focus on during this time?
Please describe
My child will eat Dinner at Divas biweekly weekly
My child will only attend monthly Saturday Sessions
Emergency Contact Information

First NameLast Name
Phone Number
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OPEN HOUSE & Registration will be held Saturday, September 28th, 2-4pm and it is a mandatory session. I understand in order to activate my teens enrollment, we must be in attendance. Please sign
By signing below, I agree to supporting my child in attendance, participation and opportunity to grow their leadership skills
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SCHOOL DAYZ ACADEMY 2024-2025