When you register for the Mentored Readers Book Club, we will mail your subscription package to your home address. Please complete the registration form below to begin. Agree Full Name (parent/guardian) Full Name (child/teen) Email Gender Phone Number Date of birth Street Address: Choose a Program Lionhearts (Ages 6-8)Legends (Ages 9-12)Leaders (Ages 13-16)Lighthouse (Ages 17+)FaithBuilders Level 1 (Ages 6–9)FaithBuilders Level 2 (Ages 10–16) City Select child's reading level Above Grade LevelAt Grade LevelBelow Grade Level Province/State What is your goal for signing up (Child’s name): How did you hear about us? Youthversity.comInstagramFacebookGoogleTikTokFamily/Friends Media Release: We take pictures and record videos of our Book club activities and book reviews. By signing this form, you give us permission to utilize any pictures or videos of your child for archive and promotional marketing purposes only. Confidentiality: We will handle your/your child's personal information with the utmost confidentiality and will not disclose it to any third parties. Agree Consent for Future Contact: By agreeing to this disclaimer, you grant us permission to contact you/your child in the future regarding other program-related activities. Yes No Send
