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SOURCE (Student Outreach Resource Center)

Adult/ Mentor Registration for Groups Working with Youth/ Children (under 18)
Any adult (18 years or older) who interacts with youth/ children (under 18 years old) in your program must be registered. Parents/ guardians who paritcipate in the program do not have to be registered. The Primary Contact(s) for your group is responsible for completing this form. If you have any questions, please email source@jhsph.edu or call (410) 955-3880.
Fields marked with * are required.