REGISTRATION

SignatureOur Program is currently open to 6th – 8th grade students of Prince George’s County, Maryland. The Fall session will end on December 10, 2016. We are currently accepting applications for Spring 2017. If you and/or your child are interested in our program, please click on the link below to  download the registration form.

Our Services are currently offered at the PGC Beltsville Public Library. Our first session will be February 4th, 2017 at 12:00p.

Registration Form

Completed Student Registration Forms may be submitted to either:

  1. Email:  ileadsuccess@gmail.com
  2. Mail:  iL.E.A.D. Success Tutoring and Mentoring
              P.O. Box 1022, Frederick, MD 21702-1022
  3. Hand into the library before the first session

Liability Form

The Liability Form is required for your child/children to participate in our science activities in which your child/children will be provided the proper safety equipment. This form must be completed and signed by the parents/guardians and filed with iL.E.A.D. Success by the first day of participation.

 

The  Medical Release Form is required in case of an emergency. This form must be completed and signed by the parents/guardians and filed with iL.E.A.D. Success by the first day of participation.

Behavioral Contract

The  Behavioral Contract  ensures the success of your child’s/children’s experience in our program by agreeing to safe and positive behaviors. This form must be signed by the student and parents/guardians and filed with iL.E.A.D. Success by the first day of participation.

Media Release Form

The Media Release Form essentially asks for your permission for iL.E.A.D. Success to take pictures of your child/children during our program sessions. We intend to use such photos for our program communications, for example the website, or a brochure. The form must be completed and signed by the parents/guardians and filed with iL.E.A.D. Success by the first day of participation.