Please complete one form for each child.
If requested information is not applicable or is unknown, please enter N/A.
There will be 2 site locations this year, Alexandria (50 scholars, K-8), and Newark (60 scholars, K-5).
The program will run June 17 - July 26, Monday through Friday, from 8:00am-3:00pm.
The registration cost is $25 per child unless you meet the PRC eligibility requirements, in which case the registration fee will be reduced. Section 2 of this form will help you make that determination.
To make registration payments and donations more convenient, we are now able to process online payments!
If you are unable to pay electronically, checks, money orders, or cash may be mailed to:
CDF Freedom Schools of Licking County
Neal Ave UMC
12 Neal Ave
Newark OH 43055
Please make checks out to "CDF Freedom Schools of Licking County"
Please email the Project Director, Jenna Wolfe, at firstname.lastname@example.org with any questions!