Student Application

Personal Details

Student First Name *

Student Last Name *

School Name *

Grade *

Email *

Email confirmation *

Phone Number *

Parent First Name *

Parent Last Name *

Mentor Information

Mentor First Name *

Mentor Last Name *

Mentor Age (Mentor must be 55 or older) *

Mentor Email *(Do not submit this application until you have entered your mentor’s correct email.) *

Mentor Phone Number *

Guideline Agreements

I have read and agree to follow all PFE guidelines *

Yes

Read the PFE guidelines: K-8 | 9-12

Photo Release

I permit PFE and/or my school to use images I am in for marketing, newsletters, and internal reporting. *

Yes

I permit PFE and/or my school to use videos of me for marketing, newsletters, and internal reporting. *

Yes

Electronic Communication Release

By submitting this student application I am authorizing staff and other leaders of the Partnering for Eternity program to communicate with my child electronically. *

Yes

By providing your phone number above, you agree to receive automated text messages from, THE SFFC FOUNDATION, LLC. and also agree to our Terms of Service and Privacy Policy. Message frequency will vary. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. Reply HELP for help or STOP to cancel. *

Yes

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