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#BETTER TOGETHER | Donations and Sponsorships
#BETTER TOGETHER | Donations and Sponsorships
EPIC Young Professional Program Registration
EPIC Young Professional High School Program
Zip Code
Parent First Name
*
Parent Last Name
*
Mobile Phone Number
*
Email Address
*
Student(s)
Student First Name
*
Student Last Name
*
Student Email
Student Mobile Phone Number
Grade
*
9th
10th
11th
12th
My child is aware of or prepared for a career or higher education after high school.
Yes, completely prepared.
No, has not mentioned or prepared a plan for after high school.
Somewhat, has discussed but not written down or taken action steps toward a plan.
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Parent Consent
*
I am the parent or legal guardian of the child/youth/children named above, and grant consent for their attendance at ICE Mentors programs. I also grant ICE Mentors my permission to us the child/youth/children likeness in photographs for any legal use, including but not limited to: publicity, copyright purposes, advertising, and web content.
Parent Signature
*
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