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2023 Northern Lights Youth Mentor Project - Halifax Registration Form
Please fill out the sections below to register for the Northern Lights Youth Mentor Project in Halifax.
6 Week schedule:
Wednesday May 24th, 5-6pm - Wickwire field, Dalhousie University
Wednesday May 31st, 5-6pm - Wickwire field, Dalhousie University
Wednesday June 7th, 5-6pm - Wickwire field, Dalhousie University
Wednesday June 14th, 5-6pm - Wickwire field, Dalhousie University
Wednesday June 21st, 5-6pm - Wickwire field, Dalhousie University
Wednesday June 28th, 5-6pm - Wickwire field, Dalhousie University
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Email
*
Your email
Participants Name
*
Your answer
Parent/Guardian Name
*
Your answer
Best email to contact participant - by entering a different email to the one above, you're giving us consent to reach out to your child directly (in the event of things like webinars/small group mentoring/etc)
*
Your answer
Participants DOB
*
MM
/
DD
/
YYYY
Which session are you registering for?
*
Ages 9-15
Ages 16-18
Are you able / planning to make it to all 6 sessions?
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Yes
No
What are three things you as a parent / carer hope to get out of this Project?
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Your answer
What are the top three things your child is looking to get out of this project?
*
Your answer
The Halifax Dockers / AFL Canada will be taking photos/videos of the sessions throughout the project that may include your child. Do you give permission for these to be shared on social media?
*
Yes
No
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