Oakland Freedom Schools is a 6-week summer academic literacy and cultural enrichment program serving 100 students (50 at each site), ages 5-14 from June 20 – July 29. With a 10:1 classroom ratio, the program provides a healthy breakfast, lunch and snack, weekly field trips and 150 minutes a day, of academic literacy instruction.

OFS Summer 2016 Registration Dates:

Monday, April 11th (Priority Registration for OUSD students)
Sunday, April 17th (Open Registration for all)

OFS 2016 REGISTRATION

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  • STUDENT INFORMATION

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  • Name of school where your child is enrolled
  • What grade was your child enrolled in during the most recent school year 2015-2016?
  • What is the primary or native language spoken at home?
  • Does your child have a sibling(s) who currently participates, or has participated in the OFS program? Choose One
  • PARENT/GUARDIAN INFORMATION

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  • EMERGENCY CONTACT INFORMATION

    In case of emergency, please contact:
  • Please list other adults who are authorized to pick up your child.
    NameRelationshipPhone 
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  • STUDENT MEDICAL INFORMATION

  • Does your child have health insurance? Choose One
  • If Yes above, please provide the name of the Health Insurance Carrier
  • Has a doctor or health professional ever informed you that your child has any of the following medical conditions or disabilities? Check all that apply:
  • Please describe any developmental delay or physical impairment or if not applicable, indicate none.
  • Does your child currently need or use medication prescribed by a doctor?
  • Parent/Guardian Consent

    I give permission to Oakland Freedom Schools ("OFS") and its designees to collect and record data on my child(ren). This data gathering may include, but is not restricted to, the following: * Surveys and/or interviews about his/her/their knowledge, attitudes, skills and behaviors in regard to his/her/their academic development such as motivation to read; nonacademic development such as leadership and conflict resolution skills; and overall satisfaction with the OFS program. * Academic assessments and school data from report cards. These will be collected minimally twice; either shortly before the program begins, during the program, or shortly after the program ends. I understand that the the purposes of these surveys and interviews are to document the impact of the Oakland Freedom Schools program on its participants and to identify areas for improvement. I also understand that that this information will remain private, and that only my child(ren)'s site director(s) and research assistants approved by the Children's Defense Fund will be able to look at his/her responses. I also understand that my child(ren)'s responses will be automatically grouped together with the responses of other OFS sites for any public presentations of findings, and that my child(ren) will not be individually linked to his/her/their responses. In addition, I understand I can take back my permission at any time. Additionally, I give permission for my child(ren) named above, to participate in all Oakland Freedom Schools field trips including walking trips to parks, libraries, and local businesses. I give OFS staff permission to transport my child in cars, charter, and public transit (e.g. AC Transit buses, BART trains, and etc.)
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  • Oakland Freedom Schools Release of Liability

    I understand the nature of the OFS summer program and that participation is voluntary. I understand that OFS is not responsible for loss, damage, illness, or injury to person or property as a result of participation in the program. I hereby release and discharge Oakland Freedom Schools and its staff and volunteers from any and all claims for injury, illness, death, loss or damage as a result of the summer enrichment program activities.
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  • Oakland Freedom Schools Media Release

    During your child’s attendance in OFS s/he may participate in an activity that is being photographed or videotaped; these photographs/video recordings may be used for promotional purposes. I hereby authorize and irrevocably grant to the Oakland Freedom Schools and its affiliates, licensees, agents and assigns the unrestricted right to use and publish any part of the information that I have given to OFS and the right to record my name, voice, appearance, likeness and comments on film, videotape, audiotape, still photographs, print and any other media now known or hereafter invented. I acknowledge that OFS shall own all right, title and interest in and to this media. I further agree that OFS may cause all or parts of this media to be used for any and all publications, exhibitions, public displays, editorials, advertising or other purposes. I waive any inspection or approval of the media or any advertising or publicity in which my name, voice, appearance, likeness, narrative, or comments might appear. I expressly release and agree to hold harmless OFS and its agents, employees, licensees and assigns from and against any and all claims including, but not limited to, invasion of privacy that I might ever have in any way relating to my interview or its use.
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  • Parent Closing Statement

    I hereby certify that the statements in this application are correct and true. I understand that my child(ren)’s enrollment as a OFS student is based, in part, on the information provided within this application and my agreeing to the terms as outlined in writing by Oakland Freedom Schools. I authorize the local program sponsor to furnish a copy of this form to the Children’s Defense Fund for use in any demographic/longitudinal evaluations that may be developed to strengthen the CDF Freedom Schools program nationally.
  • Your Signature (Use Mouse, Touch Screen/Pad)