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Howard County Students ONLY. FREE online Life Skills classes

Life Skills Classes Summer Series will be held Monday through Thursday July 18, 19, 20, 21, 25, 26, 27, & 28 from 10:00 a.m. to 11:30 a.m. via Zoom.  If you would like to register your child, 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                  Educational Coordinator
HC DrugFree

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* 1. This series is for Howard County students ONLY. Does your student live in Howard County?

Student Information

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* 2. Student's first name

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* 3. Student last name

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* 4. Your student is in:

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* 5. Name of school your student attends:

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* 6. Your student's grade:

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* 7. Student age

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* 8. Student gender

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* 9. Student race

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* 10. 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.

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* 11. Student email address - Please do not use their HCPSS gmail address as they cannot receive emails from addresses outside of HCPSS

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* 12. Confirm student email address

Parent/Guardian Information

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* 13. Name of parent/guardian 

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* 14. Phone for parent/guardian

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* 15. Re-enter phone for parent/guardian

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* 16. Email for parent/guardian

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* 17. Re-enter email for parent/guardian

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* 18. Mailing address

Emergency Contact Information

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* 19. Name of another adult serving as emergency contact #2

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* 20. Phone for adult emergency contact #2

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* 21. Email for adult emergency contact #2

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* 22. Does your student have access to a computer/device?

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* 23. 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.

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* 24. 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?

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* 25. 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 in Fall 2022.

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* 26. Questions for HC DrugFree's staff:

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* 27. Additional information for HC DrugFree's staff:

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* 28. 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.

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