Club TREP 2021-2022 Registration Form
To be eligible, scholars must be in grades 5-8 for the 2021-2022 school year.

***Please complete one form per scholar (student/child of respective parent).***

About Club TREP:
To continue to build our communities, we are excited to launch Club TREP. As an extension of our annual summer program, the club will meet monthly (virtually as needed) throughout the year to continue our studies in Black History and African Culture, and to assist students in implementing their Social Justice and Entrepreneurship plans. Like the summer program, it is for 5th through 8th grade scholars.

The cost is $30 per session. Submit your payment here:

Location: Project Row Houses 2521 Holman Street, Houston, Texas 77004

To learn more, visit our website at
Sign in to Google to save your progress. Learn more
Email *
Today's Date *
Scholar Gmail Account: *
Include the Gmail account that will be used throughout the program. Be sure to check this regularly so that scholars receive the Google classroom and Zoom links.
First and Last Name of Scholar: *
Gender *
Pronouns *
Race *
Culture *
Age *
Grade (2021-2022 School Year): *
To be eligible, scholars must be in grades 5-8 for the 2020-2021 school year.
School (2021-2022 School Year): *
Street Address *
City *
County *
State *
Zip Code *
Country *
Neighborhood/Side of Town *
Please complete this if you are a Houston-based scholar. This information will also be used for transportation arrangements. Write N/A if you live outside of the Houston area.
Parent/Guardian Full Name: *
Parent/Guardian Cell Phone Number *
Parent/Guardian Phone Number #2 (secondary number) *
Parent/Guardian Email Address: *
Person Authorized To Pick Up Scholar *
Include full name, cell number, email address, home address, and relationship to scholar.
Emergency Contact Name: *
Emergency Contact Relationship: *
Emergency Contact Phone: *
Which sessions will your scholar be attending? *
Parent/ Guardians may choose to pay $30 per session OR $300 for the entirety of the year (10 sessions). Please select your options and pay using *
Which mode will your scholar be using? *
Health, Allergies, and Neurodiversity *
Please describe any health, allergy, or neurological variations that your scholar may have. We recommend that those with variations are assisted by someone in the home while completing the program as one-on-one assistance is not currently available virtually or in-person. Write N/A if this does not apply.
Snacks will be provided (when gathering in person) however we recommend that scholars with specific dietary needs (i.e. food allergies, vegan, vegetarian, gluten-free, etc.) bring their own lunch and snacks. If you will be sending your child's lunch, please be sure that your child's lunch is clearly marked with your child's first and last name. Refrigerators and microwaves will not be available.
Additional Information
For important updates during and between sessions:

Sign up for our text messaging system-->Text "trep" to 877-885-0184

Sign up for our newsletter-->

Contact number for calls-->832-736-2234
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.