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RESULTS Mentoring After School 

Summer Camp Registration Form RESULTS Mentoring 18135 E. Nine Mile Road, Eastpointe, MI 48021

Note - you must be at least 13 to attend our camp.  See grade choices below.

Summer Program Details 

Program Dates


Session # 1 January 5, 2026 - June 2026 (rolling registration)


Program Hours - 

Session # 1 3:00 - 5:00 pm


Partial Day Students -

8:00 am - 1:00 pm EST


Grades Served: Students must be at least 13 years old entering grades 7-12


Notes - 100% Free for Families! with Literacy and Math Instruction; STEM and Energy Training; Entrepreneurial Training; Mentoring Sessions.

Student Date of Birth
Month
Day
Year
What grade level will your child be entering this upcoming school year (2026 - 2027)?
7th Grade (Must be at least 13)
8th Grade (Must be at least 13)
9th Grade
10th Grade
What is your child's racial and/or ethnic identity?
American Indian, Indigenous, Native American or Alaskan Native
Black or African-American
Asian or Asian-American
Hispanic or Latinx
White or Caucasian
Native Hawaiian or Pacific Islander
Multiracial
Prefer not to answer
Other
What is your child's gender?
Male
Female
Non-Binary
Prefer Not To Answer
Does your child have a special education plan, individual education plan (IEP) or 504 plan as part of their school's education?
Yes
No
Not Sure
Is your child an English learner or English as a second language student?
Yes
No
At school, is your child eligible to receive free lunch?
Yes
No
Did your child attend a MiLEAP School Program last year (2025)?
Yes
No
Students who register for our programming commit to attending programming throughout the duration. This is not a drop in program and it is important that the students attend daily for full program benefit. Will student be able to attend 70% of time?
Yes
No

Along with assessments, your child will be asked to complete in a post-survey after the program so that we can evaluate the program successes and challenges tis year and continue to improve the MiLEAP Program.  No further action is required to provide consent for your child to participate.  If you prefer for your child NOT to participate. please notify us at info@resultsmentoring.org confirming that you want to OPT OUT of student surveys.


By submitting this enrollment application, I, The parent/guardian, consents to be contacted by Summer Discovery Administration and/or service providers.

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RESULTS MENTORING, 18135 EAST NINE MILE ROAD, EASTPOINTE, MICHIGAN, 48021, UNITED STATES

877-378-5873, INFO@RESULTSMENTORING.ORG

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© 2025 by RESULTS Mentoring.  RESULTS Mentoring is a 501(c)3 organization.  All Rights Reserved. 

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