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Casual Mentor Enquiry Form
Casual Mentor Enquiry Form
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Parent's Name
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First
Last
Parent's Contact Telephone Number
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Parent's Email
*
Daughter's Name
*
First
Last
Which district do you live in?
*
Breckland
Broadland
Great Yarmouth
King's Lynn and West Norfolk
North Norfolk
Norwich
South Norfolk
I live outside of Norfolk
Please select the district you live in from the drop down menu
For your daughter
I am able to commit to attending a 2hr Butterflies session on a casual basis.
I feel comfortable sharing my own experiences within a group.
I enjoy participating in fun group activities.
Why would you like to become a Butterflies Casual Mentor?
*
Please give a brief explanation of why you would like to join the Butterflies Programme and become a Mentor.
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