Summer Enrichment Program Registration - Southside Baptist Church

PROGRAM INFORMATION

While past years’ summer enrichment programs have taken place at Southside Baptist Church, due to COVID-19 and out of concern for the health of students and families, we have moved the program to a digital format, and the program will not take place in person. While nothing can truly do justice to a hands-on, interactive learning environment, we hope to provide students with an opportunity to engage their minds over the summer and to equip them for future challenges in school and beyond.

Program Dates: June 29th - July 24th, 2020 online via Youtube, ssbaptistchurch.com, and Google Classroom

This year’s program will be completely FREE to all participant families. Videos will be available to access via YouTube but students must register to receive resources such as: Free mentoring, Access to supplementary learning materials (games, worksheets, quizzes, etc.), DVDs/printed worksheets for those without internet/device access
If a student is not registered, he or she will not be able to access assignments on Google classroom, have access to a mentor or be provided supplementary materials.
To view a FAQ for this year's program, visit http://www.ssbaptistchurch.com/ministries/summer-enrichment

Email Address of Registrant*

Do you as a parent have a Google Email (Gmail) account? This will be required to access Google classroom for assignments.

How many children are you registering?*

Child's Name*

First NameLast Name

Child Gender*

MaleFemale

Child's Birth Date*

MonthDayYear

Child's Age*

Last Grade Completed*

Child's Name*

First NameLast Name

Child Gender*

MaleFemale

Child's Birth Date*

MonthDayYear

Child's Age*

Last Grade Completed*

Child's Name*

First NameLast Name

Child Gender*

MaleFemale

Child's Birth Date*

MonthDayYear

Child's Age*

Last Grade Completed*

Child's Name*

First NameLast Name

Child Gender*

MaleFemale

Child's Birth Date*

MonthDayYear

Child's Age*

Last Grade Completed*

Parent/Legal Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Home Phone Number

Does your household have an Internet access where your child can access assignments online?*

Yes, I have a reliable Internet connectionNo, I don't have one but will get access to Internet connectionsomehow!No, I don't have one

Does your household have a reliable computer and/or mobile device where your child can access assignments online?*

Yes, I have a reliable computer/mobile deviceNo, I don't have one but will get access somehow!No, I don't have one

Does your household have a printer in which to print downloaded assignments and documents?*

Yes, I have a printerNo, I don't have one but will get accessNo, I don't have printer access

Do you as a parent have a Google Email (Gmail) account? This will be required to access Google classroom for assignments.*

Yes, I have a Gmail accountNo, I don't have one but will make one!No, I don't have a Gmail account

DIGITAL TUTORING RELEASE - By checking the box below, I hereby give permission for student and/or adult tutors (acting on behalf of Southside Baptist Church) to contact me and/or my child for video tutoring and instruction for educational and mentoring purposes only. Failure to adhere to said purposes could results in the termination of audio and visual communication during the implementation of the program.*

Yes, I give permission.NO, I do not give permission.

MEDIA RELEASE INFORMATION - By checking the box below, I hereby give permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website and social media platforms.*

Yes, I give permission.NO, I do not give permission.

Registration Application

First Child

Second Child

Third Child

Fourth Child

Parent/Guardian Contact Information

Assessment of Program Access

Program Release Information