Screen Reader Mode Icon

Registration CLOSED! -- Howard County Students ONLY. FREE online Life Skills classes

Registration is now CLOSED. If you want information about tentative Summer Classes, please be sure to sign up to receive our FREE electronic newsletter so you don't miss any updates. Go to www.hcdrugfree.org to add your email address to our newsletter list. Thank you.



This series of Life Skills Classes will be held February 24, March 3, 10, 17, 24, April 7, 28, and May 5 from 5:00 p.m. to 6:30 p.m. via Zoom. If you would like to register your child, please complete the form below. We hope your child can attend all or as many of the classes as possible.

If you have questions or difficulty completing this registration, please email Lifeskills@hcdrugfree.org Thank you.

Joan Webb Scornaienchi
Executive Director
HC DrugFree
Student Information

Question Title

* 1. Registration is now CLOSED -- Student first name

Question Title

* 2. Student last name

Question Title

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

Question Title

* 4. Your student's grade

Question Title

* 5. Name of school your student attends

Question Title

* 6. Student age

Question Title

* 7. Student gender

Question Title

* 8. Student race

Question Title

* 9. Is your student hispanic?

Question Title

* 10. Does 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 (or please let us know that they won't be on camera).

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.

Question Title

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

Question Title

* 12. Confirm student gmail address

Parent/Guardian Information

Question Title

* 13. Phone for parent/guardian

Question Title

* 14. Re-enter phone for parent/guardian

Question Title

* 15. Mailing address

Question Title

* 16. Ideally, we would like students to attend all 8 Life Skills sessions. However, we understand that may not be possible. Please indicate below which sessions you think student will be able to attend.

Question Title

* 17. 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.

Emergency Contact Information

Question Title

* 18. Name of parent/guardian (should match phone number provided above)

Question Title

* 19. Email for parent/guardian

Question Title

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

Question Title

* 21. Phone for adult emergency contact #2

Question Title

* 22. Thank you for registering. If you have any additional comments or questions, please include them here. Also, feel free to email us at Lifeskills@hcdrugfree.org

T