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Required

Welcome to the Project SHARE 2024-2025 School Year Registration!

 

1st Student Information

MM/DD/YY​​
Is the student in a sports program at school?
Genderrequired
Is English the 2nd language for the student?required

General Information:

Does the student have disabilities?required
Does the student have an IEP (Individualized Education Plan) on file at school?required
Ethnicity: choose all that apply:required
May Project SHARE photograph/record/use photos of my student, and use such images, at no compensation, for promotional, educational purposes; in unlimited print; on educational websites promoted by or for Project SHARE & partners?required
In regard to sun sensitivitiesrequired
Does the student have any special alerts/restrictions?required
Does the student have a behavior plan on file at school?required
Does the student take any medications?required
Does the student have any allergies?required
Do you authorize your student to watch PG rated movies at Project SHARE on special occasions?required
Will they be required to take medication during after school hours?required
May your student walk home?required
What days may they walk?
May your student ride the bus?required
What days may they ride the bus?

2nd Student Information

MM/DD/YY​
Is the student in a sports program at school?
Gender:required
Is English the 2nd language for the student?required

General Information:

Does the student have any disabilities?required
Does the student have an IEP (Individualized Education Plan) on file at school?required
Ethnicity: choose all that apply:required
May Project SHARE photograph/record/use photos of my student, and use such images, at no compensation, for promotional, educational purposes; in unlimited print; on educational websites promoted by or for Project SHARE & partners?required
In regard to sun sensitivitiesrequired
Does the child have any special alerts/restrictions?required
Does the student have a behavior plan on file at school?required
Does the student take any medications?required
Does the student have any allergies?required
Do you authorize your student to watch PG rated movies at Project SHARE on special occasions?required
Will they be required to take medication during after school hours?required
May your student walk home?required
What days may they walk?
May your student ride the bus?required
What days may they ride the bus?

In case of Emergency *FIRST CONTACTS*

Custodial parent / guardians will be notified first in an emergency or for a discipline issue. This individual has pick up authority by default. Please list an alternate choice if custodial parent/guardian cannot be reached. 

Custodian/Guardian (1):

Custodian/Guardian (2):

Students may be picked up by:

Students may NOT be picked up by:

Medical Information:

Do you authorize the staff of Project SHARE to secure and sign for emergency medical care for my child at my expense, when necessaryrequired
There is a $50 enrollment fee per family (NOT per student) that can be paid on the payment page. If your family needs fee assistance, please complete the fee assistance form and send it to projectshareinfo@shastacoe.org or give it to the site facilitator.