HOPE Academy Application - Rhonda's Promise Inc.

HOPE Academy

JOIN OUR ACADEMY

This is a community based mentoring program for girls in elementary and middle school. The program will focus on building the mentees' self-awareness, social skills and academic success. The program will create a culture that is focused on proactively counteracting race inequities by providing workshops on racial equity and awareness. Annually, we will host a Girls Chat Conference for middle school and high school girls.

Student First Name *

Student Last Name *

Student Grade *

Student School *

Student Phone Number *

Student Email Address *

Parent Name *

Parent Contact Number *

Parent Email Address *

Did you attend the 2022 Girls Chat Conference? *

What workshops or presentation topics would you like the HOPE Academy to cover? *

Any Food Allergies or Special Needs? If None, Enter N/A. *

Media Release Statement *

I Agree

I, hereby agree and give my permission for Rhonda’s Promise, Inc. and/or partners to record, film, photograph, audiotape or videotape me or my child’s name, image, and performance (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the Rhonda’s Promise, Inc. website, posting on social media sites and/or videos as determined by Rhonda’s Promise, Inc. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the Rhonda’s Promise, Inc. control. I agree that I will not hold Rhonda’s Promise, Inc. responsible for any harm that may arise from such unauthorized reproduction.

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