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What Is Your First Name?

What Is Your Email?

Phone Number

Child's Name

What are you seeing in your child right now? Include what is happening at home, school, sports, or with friends.

Which area concerns you most right now?

Confidence and courage

Bullying, peer pressure, or speaking up

Focus, discipline, or following through

Fear, anxiety, or emotional control

Self-worth and healthy boundaries

Physical confidence and coordination

More than one of these

If this work goes well, what is different for your child 6–12 months from now? What would you notice?

What do you believe is keeping this problem in place? Include anything in the home, school, or daily routine that may be part of it.

What have you already tried to help your child, and what happened?

If nothing meaningful changes over the next 12 months, what could that cost your child or your family?

Why does helping your child matter now? What happened—or what became clear—that makes this the time to act?

In your own words: why should your child be part of Young Protectors?

Why does helping your child become a confident, capable, and kind protector matter to you?

How does your child usually respond when corrected, challenged, or asked to do something difficult?

Young Protectors requires consistent weekly attendance and parent support. Which statement is accurate?

We can commit now, and I have reviewed our schedule.

We can commit after one specific adjustment.

We are interested, but I cannot honestly commit to consistent attendance yet.

That commitment does not work for us right now.

Who, if anyone, should be part of the decision before you enroll your child and commit time or money?

I can decide, and no one else is materially affected.

My spouse, partner, or the child's other parent should be part of the decision.

Another parent or guardian should be part of it.

I am not sure yet.

Young Protectors is a serious, paid training experience. If your child is accepted and after reviewing the class, schedule, and investment, which statement best describes you today?

I am ready and financially able to make a meaningful investment now.

I am financially able, but I need to understand the full program, investment, and terms before deciding.

I would need to make this decision with my spouse, partner, or the child's other parent.

I am interested, but I would need payment plans.

I am not currently in a position to invest.

I am looking primarily for free or low-cost support.

Anything else we should know to assess fit or help your child participate safely and fully?

I have answered honestly. I understand this is an application for my child and a mutual-fit conversation, not a promise of acceptance or a commitment to enroll.

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