Spring 2025 Life Skills Classes

Howard County Students ONLY. FREE online Life Skills classes

This series of Life Skills Classes will be held February 24, March 3, 10, 17, 24, April 7, 28, and May 5 from 5:00 p.m. to 6:30 p.m. via Zoom. If you would like to register your child, please complete the form below. We hope your child can attend all or as many of the classes as possible.

If you have questions or difficulty completing this registration, please email Lifeskills@hcdrugfree.org Thank you.

Joan Webb Scornaienchi

Executive Director

HC DrugFree

Student Information

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* 1. Student first name

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* 2. Student last name

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* 3. This series is for Howard County students ONLY. Does student live in Howard County?

Yes

No (please explain below)

Additional Info including if parent lives or works in Howard County and how you heard about these classes:

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* 4. Your student's grade

If other, please add it here:

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* 5. Name of school your student attends

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* 6. Student age

Other (please specify)

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* 7. Student gender

Male

Female

Don't want to share

Other (please specify)

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* 8. Student race

American Indian/Alaskan

Asian

Black/African American

Hawaiian/Pacific Islander

White

Additional Information

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* 9. Is your student hispanic?

Yes

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* 10. Does student have access to a computer/device with both a webcam and microphone? Your student is expected to be on camera and participating during class (or please let us know that they won't be on camera).

Yes

Other (please specify)

Your student's gmail address will only be used to share Google Docs and other in-class assignments with them during class. We will only contact you with information about classes, not your student. We will not share this information.

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

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* 12. Confirm student gmail address

Parent/Guardian Information

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* 13. Phone for parent/guardian

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* 14. Re-enter phone for parent/guardian

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* 15. Mailing address

Address

City/Town

ZIP

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* 16. Ideally, we would like students to attend all 8 Life Skills sessions. However, we understand that may not be possible. Please indicate below which sessions you think student will be able to attend.

Feb 24

March 3

March 10

March 17

March 24

April 7

May 5

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* 17. 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.

Yes

Emergency Contact Information

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* 18. Name of parent/guardian (should match phone number provided above)

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* 19. Email for parent/guardian

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* 20. Name of another adult serving as emergency contact #2

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* 21. Phone for adult emergency contact #2

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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