Mentee Application - Kicking Bear Foundation

Thank you for your interest in Kicking Bear’s mentorship program. The primary goal of mentorship is to serve boys and girls from homes that are missing the father or mother. We feel passionate that kids growing up without both parents in their lives benefit from additional support from godly men and women. If your child has both parents in the home, we would love to serve them through our camps and community events.

Please note that we are limited to the amount of mentor/mentee pairs we can accomodate soley based on the number of qualified applicants. That being said, it may take some time after your application has been reviewed before signing a commitment with a mentor.

God Bless,

The Kicking Bear Team

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Phone

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Mentee (Child)*

First Last

Today's Date*

Youth's Date of Birth*

Age*

Parent/Legal Guardian*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

School Attending

Hunters Safety

Yes

Harvested Game

Yes

Type of Animal Harvested

Is there both parents in the home? Please explain your family dynamics.

Outdoor Experience

Hobbies and Interests

Firearm Experience

Hunting Experience

Any special situations needs and allergies etc.

Why you feel child would benefit from being mentored or attending an event

Would you have any concerns about signing a 1-year commitment with the mentor?

How did you hear about this opportunity?

Additional Comments/Concerns

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