SUMMER BREAKOUT REGISTRATION

here you can know more about kindergarten


SUMMER BREAKOUT

A free program that encourages children to love education
and value healthy living while having fun.

June 27 – July 28 (will not meet July 4)
Monday – Thursday
7:30 am – optional breakfast
8:00 am – 3:30 pm


Waco
Students who have completed 1st – 6th grades
Family Faith Worship Center
South Terrace Apartments

Corsicana
Students who have completed 1st – 8th grades
Collins Intermediate School

*Required Information

Student Name *

Date Of Birth *

Gender MaleFemale

School *

Current Grade *

Parent/Guardian Name *

Parent/Guardian Email *

Cell Phone *

Work Phone

Address *

City *

State *

Zip *

Emergency Contact Name *

Cell Phone *

VOICE has permission to take and use photos/videos of my child. *
YesNo

VOICE has permission to seek emergency medical care for my child. *
YesNo

My child has special medical needs or food allergies. *
YesNo

If yes, please explain:

My child has permission to walk home from the program site. *
YesNo

My child has permission to be picked up from the program site by:

I give permission for my child to attend Summer Breakout. I agree to release and hold harmless VOICE and all VOICE representatives from any and all liability and claims as a result of my child’s participation in Summer Breakout activities. *
YesNo

A copy or picture of the student’s most recent report card must be attached.

Please select the location. Family Faith Worship Center, WacoSouth Terrace Apartments, WacoCollins Intermediate School, Corsicana

  • Students must attend 80% of the program to remain enrolled.
  • Students cannot arrive before 7:30 am and must be picked up promptly.
  • If someone other than those listed on the registration form will pick up students, VOICE staff must be informed by the parent in person or by phone (VOICE offices - Corsicana 903.872.0180 or Waco 254.741.9222).
  • Students can only walk home if permission is given on the registration form.
  • VOICE and Collins Intermediate are not responsible for lost or stolen personal items.