Skip to content

Feb/Mar 2022 FREE Life Skills classes Waitlist

Howard County Students ONLY. FREE online Life Skills classes

Due to the overwhelming response, we have closed registration for the Spring Series 1 (February 8, 15, 22, and March 1, 8, 15, 22, 29) and are accepting registrations for the Life Skills Classes Spring Series 2 that will be held May 10, 12, 17, 19, 24, 26, 31 and June 2 from 4:30 p.m. to 6:00 p.m. via Zoom.  If you would like to  register for Spring Series 2, please complete the form below.

If you have questions or difficulty completing this registration, please email Lifeskills@hcdrugfree.org 
Thank you.
 
Joan Webb Scornaienchi  &  Rebecca Eng
Executive Director                  Education Coordinator
HC DrugFree
1.Please indicate which option below works best for your student.
2.This series is for Howard County students ONLY. Does your student live in Howard County?(Required.)
Student Information
3.Student's first name

(Required.)
4.Student last name(Required.)
5.Your student is in:(Required.)
6.Name of school your student attends:(Required.)
7.Your student's grade:(Required.)
8.Student age(Required.)
9.Student gender
10.Student race
11.Is your student hispanic?
Your student's gmail address will only be used to share Google Docs and other in-class assignments with them during class. We will only contact you with information about classes, not your student. We will not share this information.
12.Student gmail address(Required.)
13.Confirm student gmail address(Required.)
Parent/Guardian Information
14.Name of parent/guardian (Required.)
15.Phone for parent/guardian(Required.)
16.Re-enter phone for parent/guardian(Required.)
17.Email for parent/guardian(Required.)
18.Re-enter email for parent/guardian(Required.)
19.Mailing address(Required.)
Emergency Contact Information
20.Name of another adult serving as emergency contact #2(Required.)
21.Phone for adult emergency contact #2(Required.)
22.Email for adult emergency contact #2(Required.)
23.Does your student have access to a computer/device?(Required.)
24.Does your student have access to a computer/device with both a webcam and microphone? Your student is expected to be on camera and participating during class.(Required.)
25.Due to high demand for this class, we ask that students expect to attend all  classes and fully participate. We realize there may be conflicts, but for now, does your student plan to attend all classes?(Required.)
26.If you answered "no" above, would you like us to put your student on a waitlist rather than miss classes this session? We may offer another class later in Spring 2022.
27.Questions for HC DrugFree's staff:
28.Additional information for HC DrugFree's staff:
29.I agree that my student is expected to participate using Zoom and will be on camera. 

Having read this waiver and knowing the facts, I, for myself and anyone entitled to act on my behalf, waive and release HC DrugFree and its employees, directors, officers, partners, agents, volunteers and sponsors from and against all claims, demands or causes of actions for accidents, personal injury, bodily injury, death, property damage or other injury or loss or damage of any kind, occurring from any cause arising from or related to or in connection with named participant’s involvement in these Life Skills classes.(Required.)
Current Progress,
0 of 29 answered