Major G.O.A.L.S. Family Registration Form
Thank you for your interest in your family becoming apart of the Major G.O.A.L.S. organization.  As a parent or guardian you have a key role in your child's education and development, you can give him or her, the best chance of learning and in life.  Research shows that when parents, families, schools, and communities work together to support learning, students tend to earn higher grades, attend school more regularly, stay in school longer, and enroll in higher level programs.  Pease take the time to complete this family registration form.   Information provided will be kept confidential and used to help us serve your families  academic needs and well being the best we can.
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Email *
Parent or Guardian Name *
How many family members, including yourself will you be enrolling in the Major G.O.A.L.S. program?
Child's Name *
How many males are you enrolling in the Major G.O.A.L.S. program? *
How many Females are you enrolling in the Major G.O.A.L.S. program?
What is your ethnicity *
Address *
Telephone number  *
Email address *
Emergency Contact name and telephone number *
Do you receive SNAP, or WIC benefits? *
Is your family a recipient of Free or Reduced Lunch from the Federal National School Lunch Program? *
Do you receive Medicaid benefits? *
What school does your child attend? *
What grade is your child/children currently in for the  2024/2025 academic school year *
Required
Does your child need academic support? *
Which academic subject area do you feel your child needs support? (Select all that apply) *
Required
Are you familiar with the State of Ohio school attendance policy HB410? *
Are you familiar with Ohio School Discipline Laws and Regulations regarding suspension, expulsion, removal, and permanent exclusion that specifies the types of misconduct for which a pupil may be suspended, expelled or removed? *
How else can we help serve your families academic well being and development? *
Does your child have any special interests or hobbies? *
Does your child have any special career interests? If so, please explain.
How did you hear about Major Goals and Objectives and Academic Liberty and Success (Major G.O.A.L.S.)? *
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