BHS Participant Information Form

The BHS C.O.P.E. Curriculum

It will strengthen the BHS Children's Storytime and Literacy Program for children and youth. Through this reading room instruction, mentorship, service-learning, civic engagement, and hands-on leadership experiences, participants develop the confidence, knowledge, and skills needed to lead with integrity and make a positive impact. The program starts in September. The award ceremony will be held during the MLK Weekend Holiday Event in January 2027, TBA.
Name

First NameLast Name
Student Phone Number
Format: (000) 000-0000.
When is your birthday?

MonthDayYear
Date
Email Address
What school do you go to? (ex: Gainesville HS, Home School)
What grade are you in?

Your Child would like to enroll in
Do you play sports or any extracurricular activities? (Choir, JROTC, Girl Scouts,etc)
Parent Phone Number
Format: (000) 000-0000.
Parent Email
example@example.com
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

BHS Children's Storytime