Program Locations 

Blueridge Methodist Church
2929 Reed Rd, Houston TX 77051

Greater St. Matthew Baptist Church
7701 Jutland Rd, Houston TX 77033

Pro-Vision Academy

This is the only location offering Level IV for students who have completed or will complete grades 9–12 during the 2025–2026 academic year.

4590 Wilmington St, Houston TX 77051

Southpark Baptist Church
5830 Van Fleet St., Houston TX 77033

The Higher Way Church (Jones Memorial)
2504 Almeda Genoa, Houston Tx 77047

Tom Bass Community Center
15108 Cullen Blvd., Houston TX 77047

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Surveys and Assessments Authorization

I give permission to HYPE Freedom School, Inc., and its designees to collect and record data on my child. This data gathering may include, but is not restricted to:

• Surveys and/or interviews about his/her knowledge, attitudes, skills, and behaviors in regard to his/her academic development such as motivation to read; non academic development such as leadership and conflict resolution skills; and, overall satisfaction with the HYPE Freedom School program

• Academic assessments and school data from report cards.

I understand that the purposes of these surveys and interviews are to document the impact of the Freedom Schools on its participants, and to identify areas for improvement. I also understand that this information will remain private, and that only HYPE Freedom School staff and assigned or contracted research assistants and funding partners will be able to look at his/her responses.

I also understand that my child’s responses will be automatically grouped together with the responses of other Freedom Schools sites for any public presentations of their findings, and that my child will not be individually linked to his/her responses.

Photography Authorization

I hereby give HYPE Freedom School, its successors and assignees partners irrevocable right to publish my name and the names of my children as well as any information shared by me or my children with HYPE Freedom School, in personal interviews about myself and my family.  I further give HYPE Freedom School, its successors and assignees partners, irrevocable right to use my voice recording and any recording, picture, portrait or photograph of myself and/or my child in all forms and in all media and in all manner, without restrictions as to changes or alterations for advertising, promotion, exhibition or any other lawful purpose.  I waive any right to inspect or approve any such photograph or recording. I agree that HYPE Freedom School, owns the copyright in these photographs and recordings and I hereby waive any claims I may have based on any usage of any photograph, recording, or work derived there from.  I have the legal authority to execute this release, and I have read and fully understand its contents.

HYPE Freedom School Field Trips and Medical Treatment Authorization

This form:

• Gives us permission for your child/children to ride with staff, parents, tutors, mentors, volunteers and/or authorized persons who drive their cars, van, or bus on field trips as part of the summer, afterschool at HYPE Freedom School.

• Gives the group leaders or authorized person permission to secure medical aid for your child/children should it be necessary.

The undersigned parent/guardian of the above named child hereby gives his/her/their consent to allow the below named child/children to be transported to and from HYPE Freedom School in an automobile, van or bus for various Afterschool and HYPE Freedom School Summer Program sponsored activities.

The undersigned hereby authorizes any hospital, clinic, physician, doctor, nurse or medical personnel to furnish my child/children named below any medical care and/or treatment necessary as a result of injuries sustained or other emergency medical care and treatment as the circumstances require while being transported to and from the afterschool program and HYPE Freedom Schools Program and while at the place of destination. The undersigned further authorized a representative of HYPE Freedom School to retain or acquire said medical care and treatment on behalf of the undersigned as if personally done by the undersigned. All acts so done are hereby expressly ratified 

I agree to hold harmless HYPE Freedom School, its staff and volunteers for accidents of injuries arising out of my child’s participation in Freedom School.

Parent Closing Statement

I hereby certify that the statements in this application are correct and true.  I understand that my child’s enrollment as a student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by HYPE Freedom School. I authorize HYPE Freedom School, to furnish a copy of this form to designated partners for use in any demographic/longitudinal evaluations that may be developed to strengthen the HYPE Freedom School program.

Other than you or your emergency contact who else do you authorize to pick up your child(ren)?

In case of an emergency, I give permission for any of the above individuals to be contacted, and my child(ren) may be released to any of them.

Payment Options

Pay it Forward - $300

Full Registration - $150

Full Registration Installments - $50

Angel Tree Scholarship - $0 - For families with a currently or formerly incarcerated parent. Please select "Pay Now" below.

Choose Your Contribution - Any amount in increments of $10. Available to families requiring financial assistance to cover their registration fee. If your amount is between $0 and $20, you will be contacted to discuss scholarship opportunities. You may also choose to become a Meal or Snack Sponsor (provide food for a program day) or a Volunteer (support program activities as a helper).