• K-5 and Middle School STEAM After-School Program Application 2024-2025

    Thank you for applying to the K-5 and Middle School STEAM After-School Program! This application will allow you to apply for three children; any additional children will require a separate form. You will receive a confirmation email once your application is accepted.

  • The K-5 and Middle School STEAM After-School Program begins on Tuesday, September 3.  We currently pick up from the following schools:  Alliance for Progress Charter School, James G. Blaine, Richard R. Wright, and Anna Pratt/William Dick. 

  • Parent/Guardian Information

  • Student Information

    Child 1
  •  - -
    Pick a Date

  • Student Information

    Child 2
  •  - -
    Pick a Date

  • Student Information

    Child 3
  •  - -
    Pick a Date

  • Honickman Learning Center & Comcast Technology Labs After-School 2022-2023 Parent/Guardian Consent Form

    Please list the name(s) of the children you are enrolling into summer camp.

  • Emergency Consent

    Please read carefully and initial to indicate your consent.

  • Field Trips/Swimming

    In order for your child to attend trips and go swimming, you must sign a permission slip. We will only swim in pools that certified lifeguards on staff/duty.

  • Sanitizer & Topical Ointments

  • Parent/Guardian Responsibilities

  • I have read this release, acknowledge, and understand all of its terms.

  • Clear
  •  - -
    Pick a Date

  • Project HOME Image Release Form

  • Project HOME Image Release Form

    Definition of “Personal Image”
    In this form, “Personal Image” means any:
    • photograph, film, video, sound recording, or drawing that depicts the image, likeness or voice of my child; or
    • any edited or modified version of the above; or
    • my child’s name

    Grant Project HOME Right to Use Personal Image
    I, on behalf of my minor children, grant to Project HOME the right and license to use, copy, modify and display the Personal Image in any medium (example- written or electronic) for its promotional or operational efforts.

    Types of Uses by Project HOME
    This right includes the right to use my child’s Personal Image in Project HOME’s:
    • newsletter, mailings, promotional and fundraising materials, paper or electronic publications, web pages, social media and networking sites, films, videos, and other similar works.

    No Compensation
    I understand that neither I, nor my minor children, will receive any money or other compensation for use of any Personal Image.

    No Right to Approve use or Personal Image
    I understand that neither I, nor my minor children, will have the right to inspect or approve any Personal Image or any edited or modified version of any Personal Image.

    Waiver and Release of Any Liability
    I, on behalf of my minor children, hereby release and hold harmless Project HOME and its agents and employees from and against any claims related to the use of any Personal Image, such as any editing, blurring, or alteration, either intentionally or otherwise, that may occur in its publication or distribution.

    Right in Perpetuity
    I understand that this right continues unless I change my permissions in writing to the Program Manager, or Building Direcor, or the Development at Project HOME.

  • Clear

  • Emergency Contact/Parental Consent Form

    Please hit the button to complete the Emergency Contact/Parental Consent form.
  • Should be Empty: