Bloom

August 3rd - October 5th

Bloom is a transformative mentorship and self-reflection program tailored specifically for Black Muslim teenagers. Our primary focus is on nurturing deep, long-lasting bonds among participants while providing guidance, support, and opportunities for self-discovery and personal growth during this critical developmental phase.

Bloom is more than just a mentorship program; it's a supportive community where Black Muslim teens can explore their identities, build meaningful relationships, and develop the confidence and resilience needed to thrive in adolescence and beyond. By fostering deep connections, promoting self-reflection, and celebrating diversity, Bloom empowers teens to embrace their authentic selves and navigate the complexities of identity with strength and pride.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

Ages 14-17

Parent/Caregiver

First Name

Last Name

Parent/Guardian Phone

(###)

###

####

Do you have any allergies or dietary restrictions?

Do you identify as a Black Muslim Woman?

Yes

What are you hoping to learn from this program?

Waiver

By checking the following box, you are granting your child who is between the ages of 14-17 to attend the workshop and to hold harmless Sister's Circle TO, its officers, directors and agents, from any and all actions, claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with your child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith.

I Consent

I consent to and acknowledge the above Waiver

Media Release

Sister’s Circle TO will be posting photo and video content to our social media accounts and website. By checking this box, you agree to have your youth’s photos and videos taken and posted on our social media.

Bloom

August 3rd - October 5th

sister’s circle to.

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