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Classes February to May, 2025

Dear High School and College Students:

(If student is under 18 years of age, parent/guardian must complete and give consent.)

Thank you for your interest in assisting with the Life Skills classes. The middle school students really appreciate and value your insight and experience as an older student. Please complete the registration below, and we will be in touch. Community Service Hours are available to high school students if all paperwork is properly submitted. If you have any questions, please email Lifeskills@hcdrugfree.org.

Class dates for spring 2025 (all Mondays): February 24, March 3, 10, 17, 24, April 7, 28 and May 5.

Joan Webb Scornaienchi, Executive Director

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* 1. First Name of Student

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* 2. Last Name of Student

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* 3. This series is for Howard County students ONLY (including those away at college). Does student live in Howard County or did they grow up here?

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* 4. Student Grade

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* 5. Name of School

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* 6. Student Age

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* 7. Student Gender

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* 8. Student Race

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* 9. Is student hispanic?

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* 10. Does student have access to a computer/device?

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* 11. Email address for Student. Please do not use HCPSS Gmail address as they cannot receive emails from addresses outside of HCPSS

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* 12. Re-enter student email address

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* 13. Student phone number

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* 14. Re-enter phone

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* 15. Mailing Address

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* 16. Ideally, we would like you to attend all 8 Life Skills sessions so that you can be familiar with the information in each lesson and to help better prepare you to volunteer again for future Life Skills classes. However, we understand that you have other commitments and may not be available for all of the sessions. Please indicate below which sessions you will be able to attend.

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* 17. If under 18, parent/guardian must give permission, or if 18 or older, complete for yourself:

I agree that my student is expected to participate using Zoom and will be on camera.

Having read this waiver and knowing the facts, I, for myself and anyone entitled to act on my behalf, waive and release HC DrugFree and its employees, directors, officers, partners, agents, volunteers and sponsors from and against all claims, demands or causes of actions for accidents, personal injury, bodily injury, death, property damage or other injury or loss or damage of any kind, occurring from any cause arising from or related to or in connection with named participant’s involvement in these Life Skills classes.

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* 18. (If under 18) First and last name of parent giving permission for you to participate

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* 19. Email for parent/guardian

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* 20. Emergency contact phone for parent/guardian

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* 21. Community Service Hours are available to High School students if they are on camera and assist with the class as needed. Does student plan to request Community Service Hours?

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* 22. Thank you for registering. If you have any additional comments or questions, please include them here. Also, feel free to email us at Lifeskills@hcdrugfree.org

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