Roots to Rise Parent Orientation Interest Form

ROOTS TO RISE STUDENT WELLNESS

Welcome to Roots to Rise Student Wellness!

Whether you interest is in Student Wellness Drop-In Sessions or Wellness Intern Leadership Cohort, you are in the right place.

Choose the track that fits your student and lock in your eligibility for our January 2027 launch.

Question Title

1. Parent/Guardian Full Name

Question Title

2. Contact Phone Number

Question Title

3. Email Address

Question Title

4. Student's Full Name

Question Title

5. Student's Current Grade (Fall 2026)

Middle School (Requires additional approval to review capacity.)

Freshman (Requires additional approval to review capacity.)

Sophomore

Junior

Senior

College

Question Title

6. Student's School/County

King

Snohomish

Skagit

Other (please specify)

Question Title

7. Choose your path. Are you interested in your student participating in the Wellness Intern Leadership Program (Stipends may be included) or the Roots to Rise Wellness online Drop-In Activity Sessions? Select all that apply.

Wellness Intern Leadership Program (Starts Jan 2027, Orientation in Nov 2026 Junior-Senior)

Student Wellness Drop-In Sessions (Ages 14-24 starts Jan 2027, Orientation in Nov 2026)

Question Title

8. Would you like to receive an invitation to one of the Mandatory November 2026 Online Parent Orientations via email?

Yes

Roots to Rise Parent Orientation Interest Form

ROOTS TO RISE STUDENT WELLNESS

Question Title

* 1. Parent/Guardian Full Name

Question Title

* 2. Contact Phone Number

Question Title

* 3. Email Address

Question Title

* 4. Student's Full Name

Question Title

* 5. Student's Current Grade (Fall 2026)

Question Title

* 6. Student's School/County

Question Title

* 7. Choose your path. Are you interested in your student participating in the Wellness Intern Leadership Program (Stipends may be included) or the Roots to Rise Wellness online Drop-In Activity Sessions? Select all that apply.

Question Title

* 8. Would you like to receive an invitation to one of the Mandatory November 2026 Online Parent Orientations via email?

1. Parent/Guardian Full Name

2. Contact Phone Number

3. Email Address

4. Student's Full Name

5. Student's Current Grade (Fall 2026)

6. Student's School/County

7. Choose your path. Are you interested in your student participating in the Wellness Intern Leadership Program (Stipends may be included) or the Roots to Rise Wellness online Drop-In Activity Sessions? Select all that apply.

8. Would you like to receive an invitation to one of the Mandatory November 2026 Online Parent Orientations via email?