Project Ready Tech Afterschool

Student’s Email

Student’s Name

Student’s School ID Number

Student’s Grade Level

School Attending

Gender

Female Male Non-Binary Prefer not to say

Name

Parent Phone Number

Parent Email

Home Address

City

Zip Code

Emergency Contact

Emergency Contact Phone Number

Relationship to Student

Names of Adults Authorized to Pick Up the Student

Is there anything the program should know to better support the student academically? Please do not include confidential medical information. You may share learning needs, academic concerns, interests, or other information that would help us support your student.

Program Schedule Acknowledgement(required)

I understand that the TECH AFTERSCHOOL program is from 2:45 PM to 4:45 PM, October 5 through December 16, 2026.

Attendance Committment(required)

I understand that regular attendance is important and agree to make every reasonable effort for my student to attend scheduled program sessions.

Pickup and Transportation Acknowledgement(required)

I understand that families are responsible for arranging transportation to and from Scotlandville Magnet High School.

Program Participation Authorization(required)

I give permission for my student to participate in the TECH AFTERSCHOOL program at Scotlandville Magnet High School.

By typing your full name below, you confirm that you are the student’s parent or legal guardian and agree to the acknowledgments above.

Project Ready Tech Afterschool

Program Registration

Thank you for your response. ✨