2024-2025 Loveworks Afterschool Leadership Application
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Page 1 - Parent and Student Information
This page is to be completed by a parent or guardian and will provide Loveworks with contact information for parents and basic information about the student applying.
Student Information
Student First Name *
Student Last Name
What school is your student attending for the 24-25 school year? *
For Term Applying
What grade is your student attending for the 24-25 school year? *
Loveworks Programming Days (Check mark those that you are committing to) *
Students attend Loveworks Afterschool Leadership at the Loveworks Center (151 12th Ave SE, Norman, OK) currently once or twice a week. Please select only ONE leadership day and ONE discovery day. Mondays and Tuesdays are identical days of leadership programming with different groups of students. Wednesdays and Thursdays are identical days of discovery programming with different groups of students. If choosing two days, the recommended programming tracks are Monday & Wednesday or Tuesday + Thursday.
Required
Birthdate *
MM
/
DD
/
YYYY
T-Shirt Size *
Ethnicity
Race
Select all that apply
Please list any allergies or medical conditions that we should be aware of.
How did your family hear about Loveworks?
Clear selection
Comments/Notes
Parent or Guardian Information
Below please provide the contact information for the parent or guardian who will be our primary point of contact.
Primary Contact First Name *
Primary Contact Last Name *
Relation to Student *
Cell or Primary Phone Number *
Primary Email Address *
Street Address *
City *
State *
Zip Code *
Second Parent / Guardian Contact Information
First Name
Last Name
Relation to Student
Cell or Primary Phone Number
Email Address
Third Parent / Guardian Contact Information
First Name
Last Name
Relation to Student
Cell or Primary Phone Number
Email Address
Page 1 - Parent and Student Information Completed
The next page will include a set of application questions to be answered by the student applying. Press Continue to move on to page 2
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