Lightsout Empowerment Spring Registration 
Thank you for making the first step to register your child our Spring Mentoring Program! Our Spring Cohort will begin Tuesday February 6, 2024 and go until Thursday May 16, 2024. 

What We Offer:
- Mentoring
- In House Tutoring 
- Team Building
- Grade Tracking 
- Empowerment Sessions
- Community Resources
- Community Engagement 
- Haircuts
- Consistent Parent Engagement

Spring Registration Fee: $30
*This fee can be sent to any one of our payment methods below. Once the payment is sent in, a text confirmation will follow with further instructions on moving forward with our registration process and solidifying your child's spot in our program for the Spring. 

Payment Methods

Cash App: $lightsoutempowerment
Zelle: 912-463-3632
PayPal: @lightsoutempowerment
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Mentee's cell phone number (IF they have one)
Mentee's Name
Mentee's Grade
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Mentee's Age
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Mentee's School 
Parent/Guardian's Name
Parent Email 
Parent Active Cell Phone Number 

*Parents will receive updates and alerts from our program to this number. 
Is your child allergic to anything?
Does your child live in a single parent household or both parents?
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Do you understand that our program does not provide transportation at this time?
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Will you have any issues transporting your child to our program on Tuesdays and Thursdays
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This Spring, we will be issuing contracts to each parent for each individual mentee. Are there any questions you may have with this? If No, please write N/A. If yes, please respond with your questions. 
Our Weekly Fee will be $40 Weekly. Do you have any questions?
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We will have an important parent meeting that will be in person Saturday, January 17th at our main site at 5 PM. 

Location- 4372 W Oglethorpe Hwy 

Will you be able to attend? 
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Which payment method do you prefer? 
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How did you hear about us? 
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