iCan Learn 2019-2020 Registration
Drop Off: 8:45AM
Program Finishes: 11:00AM
The dates for the 2019-20 programs are:
Parent/Guardian First Name
Parent/ Guardian Last Name
Name of Child
What school does your child attend?
What grade is your child currently in?
What county do you live in?
Are you a member of The Foundation?
I have "Family Membership".
I have a "Community Membership".
I am a Volunteer.
I am not a member.
My child will be in attendance for the following classes:
September 7, 2019
October 12, 2019
October 26, 2019
November 26, 2019
January 18, 2020
February 22, 2020
February 29, 2020
Which option are you signing up for?
Parent / Child Program
Parent Lecture Only
To participate in The Learning Program 2019 - 2020, you have several
payment options. These options are intended to streamline the tuition
collection process and save on administrative overhead. If you have
payment questions or need alternative arrangements or scholarship
information, please include this information in the notes section and
email Erin Goding at Erin.Goding@DSFFlorida.org
Please choose the option that works best for you:
I would like to pay by credit card or check on/before 8/13 (receive -$50 discount, total due $175)
I would like to pay monthly by credit card or check one week PRIOR to the program. ($50 one-time registration fee plus $25/month, total $225).
If "other" please explain:
Consent to Listing in Class Directory
iCan Learn families often request contact information
for other families. To facilitate communication between families
and friendship building between students, each class will receive
its own email directory.
The directory will include parent(s) and child names and the parent(s)
email/phone number. This information will not be shared with any
person or entity outside your class or The FOUNDATION.
Please indicate below your preference for the iCan Learn Class Directory:
I would like to be included in the 2019 - 2020 iCan Learn Class Directory.
I would NOT like to be included in the 2019 - 2020 iCan Learn Class Directory.
Photo, Video and Research Release Form
Down Syndrome FOUNDATION of Florida and University of Central Florida
gather photos and video of people with Down syndrome, their families and
friends for the purposes of education, celebration, promotion and
awareness. The FOUNDATION and our Learning Program partners also
use such media as content in presentations that teach families and
educators across the nation how to work with children with Down
The FOUNDATION and UCF will also be conducting research about our
families participation in The Learning Program.
Please read and sign the following release if you are willing to grant us
permission to use photos or videos involving you, your child or family and
or your loved one to be involved in our research.
I hereby grant The FOUNDATION and UCF, their affiliates,
representatives and employees, the right to take and use photographs or
video of me and/or my minor child in connection with the above-identified
I am a parent/guardian. I have read the above and fully understand its contents.
I hereby grant permission for photograph(s)/video clips to be used in the manner described above.
I do not consent.
About My Child
Is there any information about your child that you would like to share with
the iCan Learn team? If your child has any special allergies,
behaviors, sensory issues, transition issues, additional diagnoses
(apraxia, autism, etc.) or fears, please take a moment to let us know so
we can work most effectively with your child.
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