Mentor Project Online Enrollment Form
The Mentor Project Online is a 9-week program, taking place over Zoom! Adults who stutter will be matched with small groups of young people who stutter to devise a collaborative piece of art, guided by a SAY Teaching Artist.

Each week participants will have the opportunity to: engage their sense of creativity, share their thoughts and feelings about stuttering, and be led through exercises that focus on community connection - all in a safe and positive space where it's really, really, really ok to stutter (really)!

Dates of program are as follows:

Week of Apr 20
Week of April 27
Week of May 4
Week of May 11
Week of May 18
Week of May 25
Week of June 1
Week of June 8
Week of June 15
Email address *
Participant Name: *
Your answer
Which Mentor Project Online time-slot would you like to enroll your child for? (choose one) *
We will be conducting 15-minute Zoom orientation sessions with all participants in the two weeks preceding the start of the program. Please list three potential times between 4/7-4/17, from 10am-6pm that your child would be available to chat with Aidan and Kate! *
Your answer
Do you agree to our Terms & Conditions below? *
Terms of Agreement
1. Parents must notify SAY if their child will be missing part or all of a SAY program or event at least 24 hours BEFORE the SAY event begins. If your child is sick, will be late to, will leave early from, or will miss a SAY program or event, please contact Director of Confident Voices, Kate Detrick or Artistic Director of Confident Voices, Aidan Sank: SAY Cell Phone: (917)-697-7183.

2. SAY is supported by the community, and its programs are typically offered to its participants for much less than the actual cost of the program expenses. However, at this time, all Confident Voices sessions are being offered FREE (while space lasts).

3. SAY is a positive and safe environment. Accordingly, SAY reserves the right to ask a child to leave the company, in its sole discretion, whose behavior resembles the following: a) excessive violent/disrespectful behavior, b) excessive lateness or absences, c) any possession of drugs, alcohol, or weapons.

4. Attendance problems adversely affect SAY's programs, and ultimately your child's experience in those programs as well. Because of this, your child may be asked to leave the program if she/he is excessively absent. This decision will be made on a case-by-case basis at the Director and Artistic Director’s discretion.

5. I understand that due to COVID-19 restrictions, the Mentor Project Online is a virtual program, taking place using Zoom Video Communications. Access to a computer, tablet or phone and a quiet space is required. Access to a device with video chatting capabilities is strongly encouraged.

6. Families and individual participants may not make contact with SAY employees via personal cell phones, email, or social media (Facebook, Instagram, Snapchat etc.). If a family wishes to make contact with a specific SAY employee, please contact one of the Directors via email (kate@say.org, aidan@say.org) or phone (917-697-7183).

7. For good and valuable consideration we hereby consent to and authorize the reproduction, publication and use by SAY of any photograph, picture, sobriquet, voice or likeness of my/our child.

8. I further give permission and consent that any such photographs may be published and used by SAY and the American Camp Association® and its agents, to illustrate and promote the participant experience, SAY and its programs, or the American Camp Association.

In accordance with applicable federal laws, SAY provides equal opportunities to employees and applicants without regard to age, race, religion, ethnicity, veteran status, disability, gender identity, or sexual orientation.
Why is this program important to your family? *
Your answer
Other comments or questions?
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