Returning Mentor Registration Form

This form is for Returning Pretty Brainy Mentors. Thank You, Returning Mentors! We look forward to seeing you Wed., Feb. 22, 4:30 - 7:00 p.m., at Everyday Joe's Coffee House, Fort Collins. Questions? Please email

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Dietary Restrictions*
I hereby give consent to Pretty Brainy to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization.*
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