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*Roots to Wings will attempt to accommodate requests for mentorship in languages other than English whenever possible. Please be aware that we cannot guarantee to meet this request.
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If there are any medical conditions (e.g., severe allergies) or specific emergency treatments (e.g., Epi-pen) of which program staff or mentors need to be aware, please indicate below (and by doing so, you agree that you are providing your consent for staff/mentors to take any reasonable steps required to provide any assistance required and/or to seek medical assistance in case of emergency):
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