Howard County Branch NAACP Freedom School Registration Form 2022
Welcome to the HoCo NAACP Freedom School Registration Page!  The program is operated by the Howard County Branch NAACP and is offered to students CURRENTLY finishing grades 6th-8th. A $25 registration fee is required and $10 registration fee for each additional student within the same household.  Registration includes membership to the Howard County Branch NAACP Student Council. Please click the link at the end of the form to make payment.

Registration Deadline: July 1st, 2022
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Email *
Student's Last Name *
Student's Middle Name
Student's First Name *
Student's Nickname Name
Student's Age *
Current Grade Level *
Grade Level for the upcoming school year *
School *
Student's T Shirt Size *
Student's Email Address
Second Student's Last Name
Second Student's Middle Name
Second Student's First Name
Second Student's Nickname Name
Second Student's Age
Second Student's Current Grade Level
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Second Student's Grade Level for the upcoming school year
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Second Student's School
Second Student's T Shirt Size
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Second Student's Email Address
Students' Home Street Address *
City, State and Zip Code *
Parent/Guardian Last Name *
Parent/Guardian First Name
Parent/Guardian's Street Address *
City, State and Zip Code *
Parent/Guardian's Phone Number *
Parent/Guardian's Secondary Phone Number *
Emergency Contact's Name *
Emergency Contact's Phone Number *
This program will take place on Saturdays between July 9th and August 13th. Can your student commit to attending all days? *
Dates that they will miss and the reason for missing *
 Does this student have any of the following? (Please select all that apply): *
Required
Comment *
 Does this student receive ESOL services as an English Language Learner? *
 Is this student involved in Gifted and/or Advanced programs? *
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