The Three Doctors Foundation (Mentee Registration)

Drs. Sampson Davis, Rameck Hunt and George Jenkins

Must be between 10-18 years old to participate.

All mentors & mentees are required to register to participate. Visit our website to register online or download the required forms. For further information call (973) 493-1030 or info@threedoctorsfoundation.org

Registration Form:
All FieldsAre Required
Youth Information
First Name ::
Last Name ::
Phone Number ::
Gender ::
Age ::
Mailing Address ::
City ::
State ::
Zipcode ::
School Attending ::
Planning on attending college ::
Career Aspiration ::

Parent/Guardian Information
Last Name ::
Phone Number ::
Do you plan on attending ::
Please press the "Submit" button once.

•	4/1/08- 9/8/08 POSITIVE PEER PRESSURE CHALLENGE

•	5/1/2008 (Thursday) SIXTH ANNUAL COMMUNITY CARE FUNDRAISER

•	7/26/08 (Saturday) HEALTHY MIND & BODY WALKATHON

•	8/23/08 (Saturday) MENTOR DAY

•	12/13/08 (Saturday) SPIRIT OF GIVING HOLIDAY BASKETBALL BENEFIT

For more event information
click here.