Returning Mentor Registration Form

This form is for Returning Pretty Brainy Mentors. If this is your first Pretty Brainy event, please return to the PREVIOUS page to fill out the New Mentor Registration Form. Thank You, Returning Mentors! We look forward to seeing you Feb. 22, 4:30 - 7:00 p.m., at Everyday Joe's Coffee House, Fort Collins. You are encouraged, but not required, to attend a virtual orientation on Feb. 7 or Feb. 9.

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Name*
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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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