Freedom School Interest Form

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Please fill out this form to receive registration information for Freedom School. Once you have completed the form below, we will send you an email with instructions on how to enroll your child as space becomes available. This form does not guarantee enrollment. If you have any questions or concerns, please send an email to registration@freedomschoolpartners.org or call our Central Office (704-371-4922).

Por favor complete este formulario para recibir información de inscripción para Freedom School. Cuando haya completado el formulario a bajo, le enviaremos un correo electrónico con instrucciones sobre cómo inscribir a su hijo a medida que haya espacio disponible. Este formulario no garantiza la inscripción. Si tiene alguna pregunta o inquietud, envíe un correo electrónico a registration@freedomschoolpartners.org o llame a nuestra Oficina Central (704-371-4922).

Email *

Parent Name | Nombre del padre *

Scholar Name(s) | Nombre(s) Estudiantes *

School(s) and Grade(s) If multiple scholars, format like: school- scholar name and grade. | Escuela(s) y Grado(s) Si hay varios estudiantes, formato como: escuela- nombre del estudiante y grado. *

Home Address | Direccion de casa *

City, State, Zip Code | Ciudad, Estado, Código postal *

Phone Number | Número de teléfono *

Alternate Phone Number | Número de teléfono alternativo

Did the scholar(s) attend Freedom School before? | ¿Asistieron los estudiantes a Freedom School antes? *

Yes | Si

Please select the Freedom School location your scholar(s) have previously attended. | Seleccione la ubicación de Freedom School a la que su(s) estudiante(s) asistió(n) anteriormente. *

Alexander Graham Middle School (1800 Runnymede Ln.)

Berewick Elementary (5910 Dixie River Rd)

CN Jenkins/Charlotte Lab School - Uptown (301 E 9th St.)

Christ Lutheran Church (4519 Providence Rd.)

Highland Renaissance (125 W. Craighead Rd.)

Martin Luther King, Jr. Middle School (500 Bilmark Ave.)

Oakhurst (4511 Monroe Rd.)

Pinewood Elementary School (805 Seneca Place)

Providence Day School (5800 Sardis Rd.)

QC Family Tree/St. Johns Baptist Church (300 Hawthorne Lane)

Rama Rd Elementary (1035 Rama Road)

Renaissance West (3241 New Renaissance Way)

Shalom Park (5007 Providence Rd.)

The Grove Presbyterian Church (5735 E. WT Harris Blvd.)

University City United Methodist Church (3835 W. WT Harris Blvd.)

This our first year. | Este es nuestro primer año.

Required

Please select the Freedom School location you would like your children to attend this summer. | Seleccione la ubicación de Freedom School a la que le gustaría que asistieran sus estudiantes este verano. *

Will your scholars need transportation in order to attend Freedom School? | ¿Necesitarán transporte sus estudiantes para poder asistir a Freedom School?

Yes | Si

Clear selection

Is there any additional information we should know about your scholars? | ¿Hay alguna información adicional que debamos saber sobre sus estudiantes?

Were you referred by another organization (outside of your child's school)? | ¿Fue referido por otra organización (fuera de la escuela de su hijo)? *

Yes | Si

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