Freedom School Registration Form

Manasota ASALH Freedom School is excited to announce that our Fall-Spring enrollment for K-12 students is now open! Embark on a dynamic educational journey with us as we explore the rich heritage, contributions, and culture of African Americans and the broader African Diaspora. Our engaging Saturday classes, held at Girls Inc., 201 S. Tuttle Ave, Sarasota, FL 34237, are specifically designed to provide an in-depth and truthful education in Black History, tailored for young learners from the Sarasota and Manatee communities. These classes begin on November 2nd at 11:30 a.m., and we offer rolling enrollment to accommodate your family's schedule.

Key Details:

Start Date: Classes begin on November 2nd at 11:30 a.m.

Location: Hosted at Girls Inc., 201 S. Tuttle Ave, Sarasota, FL 34237.

Enrolling: Students from Kindergarten through 12th grade.

To accommodate your schedule, Manasota ASALH Freedom School offers rolling enrollment, allowing you to join our program at your convenience.

In addition to our youth classes, we are excited to introduce Adult Sessions that will run concurrently from 12:00 to 1:30 p.m. every Saturday. These sessions feature a variety of speakers who are experts and enthusiasts in fields related to African American history, Black History, and the African Diaspora, covering topics that include history, culture, arts, and current societal issues. We warmly invite parents and families who are interested in learning alongside their children to join these enriching and interactive adult sessions. This is a wonderful opportunity for families to engage in educational growth together, enhancing the learning experience for both children and adults.

We look forward to welcoming your family to our community, where together we will deepen our understanding of Black History through comprehensive and interactive learning experiences.

Please select the session or sessions you are registering for:*

Fall-Spring

How many children will you be registering?*

Please provide ALL children's names and information below*

Child 2 information (if applicable)

Child 3 Information (if applicable)

Parent’s name and contact information*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Area CodePhone Number

Emergency Contact Name *

First NameLast Name

Emergency Contact Phone Number *

Area CodePhone Number

Family Doctor’s Name *

First NameLast Name

Family Doctor’s Phone*

Area CodePhone Number

Drop off and pick up (check as many as apply)*

I will drop off and pick up my child from the programMy child will be coming to the program on their own.I give my permission for someone else to pick up and/or drop off my child/children on my behalf. (Please provide their name in space provided below.)

I give this person permission to pick up and or drop off my child on my behalf:*

First NameLast Name

Phone Number of Authorized Pick-Up/Drop-Off Person*

Area CodePhone Number

Transportation: If transportation is available, would you be interested in transportation for your child/children to Girls Inc. from the Betty J. Johnson North Sarasota Library? (Please check one).*

YESNOMAYBE

Adult Sessions Participation: Do you plan to attend any of the Adult Sessions offered concurrently with the youth classes during the Fall-Spring Freedom School sessions?

YESNO

MANASOTA ASALH FREEDOM SCHOOL PHOTO RELEASE FORM*

YES, I DO hereby grant permission to the Manasota ASALH Inc. and Manasota ASALH Freedom School to use photographs and/or video of my child/children taken at Freedom School programs, classes, and events or other organizational functions in publications, news releases, online, and in other communications related to the mission of the Freedom School.NO, I DO NOT grant permission to the Manasota ASALH Inc. and Manasota ASALH Freedom School to use photographs and/or video of my child/children taken at Freedom School programs, classes, and events or other organizational functions in publications, news releases, online, and in other communications related to the mission of the Freedom School.

Permission to Teach (please sign): I give permission for my child/children to participate in and receive instruction at the Manasota ASALH Freedom School at Girls Inc."*

You can use your finger to sign.

After you register, you’ll be receiving additional details about the program.