Hoops and Homework Participant Application

Hoops and Homework Participant Application

Hoops and Homework is a safe and nurturing neighborhood-based after-school program which expands opportunities for youth in Framingham.
Important Notice:

Consent & Permission Forms Required Before starting, please note that at the end of this application you’ll find a link to our required Consent and Permission Forms. These forms must be completed for your child to participate in our programs. After submitting this application, please be sure to follow the link and complete those forms.
Child Information
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Address (Street)
City/Town
Zip Code
Is the student homeschooled?estion

YesNo
School*
Teacher's Name*
Grade level

Pre-K ProgramKindegarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Parent Information
First Name*
Last Name
Date of Birth*

MonthDayYear
Date
Address (Street)
City/Town*
Zip Code*
Cell Phone*
Home Phone*
Email*
example@example.com
Place of Employment
Work Email * If non type in "N/A"
example@example.com
Primary Language spoken at Home
Hours of Employment
In order to provide the best care for your child, please complete the following information.
Is your child receiving any special education or other specialized instructional services?
Mark only one.

YesNo
If yes, please specify (check all that apply) *
Check all that apply.

Individualized Education Plan/Program504 planSheltered English InstructionBilingual ClassroomSpeech TherapyCounselingOther
Should be Empty:

Hoops and Homework Participant Application

Important Notice:

Child Information

Parent Information