Fresh Start Thinking Registration
Welcome to Sow A Seed Community Foundation. Thank you for your interest in our Fresh Start Thinking Class. This is an 8-10- Week Program for youth ages 14 - 18. This is a coed workshop that is fun and interactive. Teens learn to adjust their mindsets and mental habits to avoid negative patterns of thinking that help moves them towards healthy choices and self-sufficient. Our next workshop will begin on October 1, 2019, and will meet every Monday for 8 weeks. If you would like to register, please complete this form. Location: 42 W. 8th Street, Tracy, CA Time: 3:30- 5:30 pm
Email address *
Date of Request
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Participants First Name *
Your answer
Participants Last Name *
Your answer
Which program location will you attend? *
Has the Participant ever attended a Sow A Seed program? (check all that apply) *
Required
Participant's Age (ages 14 -18 only) *
Participant's Birth date (type in correct year) *
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Participant's School Name *
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Home Address *
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City *
If "Other" City, please list here
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Zipcode *
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Contact Phone Number (ie. xxx-xxx-xxxx) *
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Other Phone Number (ie. xxx-xxx-xxxx)
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I give permission for the participant listed above to Fresh Start Thinking. I also waive, release and discharge all claims for personal and property damages arising from my child's participation *
Required
Parent/ Guardian Name ( First, Last) *
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