Life Skills for High School Students - Presented by HC DrugFree on April 30, May 2, 7, 8, 9, 15, 16, 22, 23, 29 & hold May 30 for a class make-up day.
1.
Name of Student
2.
Is student in High School?
Yes
No
3.
Name of parent/guardian
4.
Phone for parent/guardian
5.
Re-enter phone for parent/guardian
6.
Phone for student (if different)
7.
Re-enter phone for student
8.
Email for parent/guardian
9.
Re-enter email for parent/guardian
10.
Email for student
11.
Re-enter email for student
12.
School student attends
13.
Does student reside in Howard County?
Yes
No
14.
Student is expected to attend all 10 sessions to be held at The Barn. Will this be possible?
Yes
No
15.
Will student have transportation (or be able to walk) to The Barn for classes?
Yes
No
16.
Questions for HC DrugFree's staff:
Current Progress,
0 of 16 answered
