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1840 Willamette Street • Suite 100 • Eugene, OR 97401
Phone: (541) 344-0833
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"Mentoring with CPY has been one of the greatest experiences of my life. I was given the opportunity to guide a young person through a tumultuous period, to have a positive impact on my community, and to meet some wonderful new friends. I would recommend anyone to take part in this dynamic program."

— Tim, CPY mentor
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For your convenience we have provided both an interactive PDF and Microsoft Word version of the Activity Report Form for you to fill out and submit online or you may choose to download the form for manual submission by fax, mail or delivery to the CPY office. In addition we have provided mentor and parental permission forms for your convenience.

Mentor Vacation Plan (PDF) CRUX Rock Gym Waiver Form (PDF)
CPY Activity Report Form (PDF) CPY Activity Report Form (Word)
Parental Consent Form (PDF) Mentor Liability Release Form (PDF)

(Spanish) Parental Consent Form (PDF)

Mentor Reference Form (PDF)

NOTE: The above files are in PDF format — Adobe Reader is required. Click on the link below to download a free version of Adobe Reader.

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CPY Official Forms
Mentor Youth Resources
Mentor Youth Calendar
CPY Monthly Newsletters
Activity Report Form
Activities To Enjoy
Support Resources