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Forms

Required

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

 

MM/DD/YY​​
Is the student in a sports program at school?
Genderrequired
Primary Languagerequired
Is your family economically challenged?required
Ethnicity: check all that apply
American Indian/Alaskan Native:required
Asian:required
Native Hawaiian or Pacific Islanderrequired
Black/African Americanrequired
Hispanic/Latinorequired
White:required

General Information:

Is the student in foster care?required
Does the student have an IEP (Individualized Education Plan) already in place with the school? required
Does the student have any disabilites?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
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 the student be required to take medication during after school hours?required
May your student walk home?required
What days to walk home?
May your student ride the bus?required
What days may they ride the bus?

In case of emergencies, *First Contact*

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) if applicable:
 

Child may be picked up by:

Child may NOT be picked up by:

Medical Information:

In regard to sun sensitivitiesrequired
Do you hereby authorize the staff of Project SHARE to secure and sign for emergency medical care for my child at my expense, when necessaryrequired

If documentation is required to be on file to prohibit certain individuals from picking up the child(ren) your are registering it must be updated each year by the parent. An option at the end of the questionnaire is available for uploading.

If you prefer, please email to ProjectShareInfo@shastacoe.org. Please include the child's name and site within the body of the email.

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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.