STUDENT REGISTRATION

The goal of this registration is to collect data to better serve the youth and families in our service areas. The data will also assist us when applying for and/or writing grants, seeking sponsorships, donations and more to achieve our fundraising goals to continue to elevate our mentoring programs.

This will be annual occurrence to make sure we have the most current information for the families we serve. 

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Privacy Notice: Your information will not be shared with the public nor sold to businesses and/or individuals for the duration of the existence of Legacy Driven Foundation, Inc.. It is only for the use of furthering our mentoring initiatives and will remain within the organization to be used by our board members and/or donor and fundraising management team.

Note: This website and the pages within are secure by SSL and encryption.

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Student Registration & Parent Survey
PARENT DEMOGRAPHIC SURVEY:
Parent Name:
Parent Name:
First
Last
Education Level:
Please list all schools.
Employment Status:
Have you participated in a fundraiser and/or donated personally to Legacy Driven since 2018?
STUDENT REGISTRATION:
Youth Name (1st)
Youth Name (1st)
First
Last
Mentoring Program Type?
Youth Name (2nd)
Youth Name (2nd)
First
Last
Emergency Contact Name
Emergency Contact Name
First
Last
(i.e. nuts, shellfish, type of plants, inhaler etc)
Legacy Driven Foundation, Inc. General Liability & Release Waiver:

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