Scholar Pre-Enrollment Form

Scholar Pre - Enrollment Form

*You MUST attend parent orientation to secure a spot in final count* Freedom School 2025 starts June 16th through July 25th, located at Fulton Elementary
Child’s Name*

First NameLast Name
Child’s Birth Date*

MonthDayYear
Child’s Age*
Parent/Guardian Name*

First NameLast Name
Phone Number*
Primary Contact Number
Email*
For updates and further information
Child’s Grade they are currently completing*

Level 1 (K - 2)Level 2 (3-4)Level 3 (5-7)
Child’s Race/Ethnicity (check all that apply)*

WhiteAsianBlack or African AmericanHaitianHispanicBi-racialOther
School*
Has your scholar attended Covenant Freedom School in the past?*

YesNo
If answered ‘yes’ above, how many years?
Do you commit to your scholar participating in the Covenant Freedom School Summer Program?*
Commit to the FULL 6 weeks June 16th - July 25th
Should be Empty:

Scholar Pre - Enrollment Form