Additional Freedom Schools Family Members (Adults)

Have a registered Freedom Schools scholar at home? Need to add an additional parent or guardian to our contact or household list? Use this form to send us information.(Note, some questions optional).

Adult's Name

Name(s) of Freedom Schools scholar or scholars

Relationship to Child(ren)

Parent Relative Other relative Other (non-relative)

Is this individual a legal guardian?

Yes No

Adult's Contact Information

Adult's Email

This address will receive a confirmation email

Adult's Home Phone

Adult's Cell Phone

Adult's Work Phone

If your home address is different than the address we have on file for your scholar, please fill it in below.

Address

Tell us about you

Adult's birthdate (Because we like to celebrate you! And, no, we won't publicly share the year you were born, nor your age.)

Adult t-shirt size

Gender

Female Male Non-binary Other

Prounouns

He She They Other

Adult's Race/Ethnicity (Check all that apply)

American Indian or Alaska Native Native Hawaiian or Pacific Islander Asian Black or African American Native Hawaiian or Pacific Islander Hispanic / Latino / Latine White Other

Please list any languages you speak at home

Voting Information

CDF Freedom Schools® Austin continues in the legacy of the 1964 Freedom Summer civil rights project, a massive effort that focused on voter registration drives and educating Mississippi students for social change.

CDF Freedom Schools is much more than an out-of-school-time literacy program; we teach children the importance of using their voice in their community to become responsible, informed citizens.

Each year every Freedom Schools site across the United States of America celebrates the National Day of Social Action, encouraging students and families to participate in the voting process.

Are you registered to vote? Yes No, please help me get registered No, not eligible to vote No, not interested at this time

Are you a Volunteer Deputy Registrar? (A VDR is a volunteer trained and appointed by the county voter registrar to register voters. Training and participation is free. NOTE: a VDR does not need to be a registered voter in the county where they are wanting to become a VDR. They do not even need to be a registered voter in Texas. The potential VDR only needs to be a resident of the State of Texas.) Yes, I'm a VDR I'd like to become a VDR to help people in my community register to vote No thank you

CDF Freedom Schools is sponsored by Welcome Table, Inc.

Welcome Table, Inc., is a source of abundance in East Austin, Texas. In addition to sponsoring CDF Freedom Schools Austin, our Neighbor 2 Neighbor program offers assistance to low income families and seniors, such as:

* food pantry, including fresh produce, for seniors age 55+

*baby diapers, incontinence products, and period products

* utility bill assistance

Would you or your family like information on assistance from our N2N program? Yes, food assistance for seniors age 55+ Yes, utilities assistance Yes, diaper assistance for infants and children Yes, incontinence products Yes, period products Yes, other needs not listed

Serve and be served: volunteer oportunities with Welcome Table, Inc.

N2N volunteer opportunities include:
in-person shifts unloading, packing, or distributing food or diapers. There are also virtual volunteer opportunities.

Freedom Schools opportunities include:
* read aloud guests who read a book to our scholars during Harambee (our daily pep rally style assembly) and other events
* pop up events - set up/break down, and helping with our learning and social activities and events
* administrative tasks, such as helping with our website, flyers, and other materials
* Reading Buddies. Adult volunteers (background check and training required) who meet regularly with schoolars at Norman-Sims Elementary School during the school year for one-on-one book reading together
* summer set site set up and break down (transforming school classrooms into Freedom Schools spaces, loading/unloading boxes of books, snacks, curriculum materials, etc.)

Are you interested in learning more about volunteer opportunities with Welcome Table, Inc.? Yes, I'd like to know more about volunteering with Freedom Schools Yes, I'd like to know more about volunteering as a Read Aloud Guest for Freedom Schools Yes, I'd like to know more about volunteering with N2N Yes, I'd like to know more about volunteering with Reading Buddies

Is there anything you'd like to tell us about the volunteer gifts and talents that you'd like to share with Welcome Table, Inc.?

Use this space below to for any comments or questions you have

Is there anything else you'd like to tell us?

Signature

Digital Signature (Type your full legal name [first and last name] below.)

Additional Freedom Schools Family Members (Adults)

Description

Please Fix the Following