Please complete all fields on this form (a total of 10 sections). Write N/A for any item not applicable. You will receive a copy of your answers emailed to you once it is succesfully submitted.
There is a supply fee of $25 per child ($10 if you meet the criteria in section 4). The form will guide you through the registration process. Supply fees can be paid via PayPal, credit, or debit card. Registration is not considered completed until this form is finished, fees are paid, and any IEP or 504 plan is submitted and approved.
If your child has an IEP or 504 plan, you will need to submit a copy of that form to
rcfreedomschool@gmail.com.
If you would prefer to pay via check please send an email notifying us and mail them to:
CDF Freedom Schools of Licking County
Christian Endeavor United Methodist Church
1415 Londondale Parkway, Newark OH 43055
If you have any questions, please contact our Project Director, Dawn Ambrus-Cook, at
rcfreedomschool@gmail.com or 740-202-9448.