2024 CDF Freedom School Enrollment Sign Up 
Welcome to Freedom Summer 2024! 

Welcome Parents! Use this form to indicate interest in signing up a child for our CDF Freedom School program! A member of our staff will contact you if the child is selected. 

Program will be held at Fietshans Elementary School from June 10th - July 19th. Program will be every week day and drop off can begin at 8:00am with program starting at 8:30am.

A Freedom School Team Representative will contact parents for acceptance on enrollment on the following dates: 
April 15th
April 30th
May 15th

For any questions, comments or concerns please email sulfreedomschool@gmail.com or call our main office 217-789-0830.

Please submit multiple forms for multiple children. 
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Email *
Your First Name (Parent) *
Your Last Name (Parent) *
Relationship to Child  *
Required
Are you the child's legal guardian? *
Emergency Contact for Student (Please include full name and phone number, may add up to 3 individuals) *
Child's First Name *
Child's Last Name  *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Age  *
Child's T-Shirt Size 
Child's Race/Ethnicity (Check All That Apply) *
Required
Please list any languages your child speaks at home.
Child's Current Grade Level (2023-2024 School Year) *
Child's School Name *
Type of School Your Child Attended for the 2023-2024 School Year  *
Required
How many years has the child participated in the CDF Freedom Schools in the past?  *
Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan? *
Required
Does your child have health insurance? If yes, What is your health insurance carrier? *
Does your child qualify or receive free/reduced price lunch at school during the academic year? 
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What are some strategies our team can use to best support your child's learning throughout the program? (Ex: needs additional reading help, prefers small groups) *
Does your child have any allergies or health conditions of which we should be made aware of? If yes, please let us know. 
Is there anything else we should know about the child at this time? 
Do you have any questions for us? 
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