Inspiring Minds, Building Community, Transforming Lives

2021-22 Horizons GFA High School Program

Please fill out the form below to register for the 2021-22 HGFA High School Program.

Deadline: July 23, 2021

The forms required to register for the 2021-22 Horizons GFA High School Program are below. Please fill out the form completely then click the button at the bottom to submit. Once you submit, you will have the option of paying the $30 registration fee (per student) online. Click here for registration fee payment page. You can also pay by check but please, no cash.

2021-22 High School Program Registration

Student Name
Address
Parent Name

CONSENT FOR RELEASE OF INFORMATION

BY TYPING MY NAME BELOW, I HEREBY GIVE PERMISSION FOR THE RELEASE OF SCHOOL RECORDS FOR EACH OF MY CHILDREN LISTED BELOW TO HORIZONS GREENS FARMS ACADEMY. Such records include, but are not limited to standardized tests (aptitude and achievement), current classroom grades or evaluations, teacher observations, and results of education, developmental and/or psychological evaluations. I understand that any information provided will be used to benefit my child's education and that it will become the confidential property of Horizons GFA. This permission form covers the period of January 1, 2021 through June 30, 2022.
Name of Parent or Guardian Giving Consent

HORIZONS GFA PERMISSIONS

As parent or legal guardian of the above-named child, I hereby give permission for him/her/them to participate in all activities of the Horizons GFA High School Program. I hereby release Horizons GFA and Greens Farms Academy from liability for any loss or damage sustained by me or my child because of an injury to my child while participating in, or being transported to or from Horizons GFA, Greens Farms Academy, or any field trip, regular activity or special event on or away from the Bridgeport office (1057 Broad Street, 2nd Floor, Bridgeport, Connecticut) or on or off the GFA campus (35 Beachside Avenue, Westport, Connecticut). I also give consent that photos of my child (without identification) can be used by Horizons GFA for administrative or funding purposes in print or online.
Name of Parent or Guardian Giving Consent

EMERGENCY MEDICAL INFORMATION

STUDENT & FAMILY CONTRACT

Horizons GFA offers quality programming that provides its students with the academic and social-emotional skills that will lead them to high school graduation and post-secondary completion. We expect that students, parents, and Horizons GFA will form a strong partnership to reinforce and achieve this goal, working together to create a supportive environment in which students enjoy their learning experiences, grow in confidence, and take ownership of their actions and education in order to succeed in school and beyond. Please make sure that you discuss the contents of this contract with your student before signing each of you sign in agreement.

COMMUNITY STANDARDS

The expectations for all members of the Horizons GFA community are guided by the following statements that apply at all times:
  • I will treat everyone with respect, kindness and tolerance.
  • I will be honest and behave in a manner that creates trust.
  • I will contribute to a safe and supportive environment.
  • I will respect the property of Horizons GFA as well as the personal property of others in the Horizons GFA community.
  • I take responsiblity for my words and my actions.
  • I will attend, participate, prepare for, and try my best in each coaching session and all program activities.
  • I will consistently demonstrate that I value the opportunity I am being given as a member of the Horizons GFA community.

STUDENT COMMITMENT TO SUCCESS

  • I will take ownership of my education.
  • I will take responsibility for my behavior.
  • I will persist in my schoolwork, and will seek help when needed.
  • I will continually improve my organizational and study skills.
  • I will be open-minded to new ideas and ways of thinking different from my own.
  • I will listen to others with understanding and react with empathy.

PARENT COMMITMENT TO STUDENT SUCCESS

I will play an active role in my child's social-emotional and academic growth with Horizons as a partner in order to achieve the goal of my child entering and completing the post-secondary program of their choice.
  • I understand and value the role of education to my child's future and will communicate and emphasize its importance to my child.
  • I will support and encourage my child to work to the best of his or her ability during the school year and at Horizons.
  • I understand that if my child should require additional academic intervention, I will engage with and cooperate fully in the required intervention for the benefit of my child.
  • I understand the relationship between attendance and academic success, and will commit to full attendance at the Horizons GFA High School Program
  • I will attend Horizons at GFA parent meetings and other events throughout the year to support my child and the community.

PARENT COMMUNICATION

I agree to complete all registration forms and submit the $30 per student registration fee no later than posted deadlines.
  • I agree to promptly notify the Horizons GFA High School Program of any change in address, phone number or emergency contact.
  • I agree to notify the Horizons GFA High School Program or academic coach of an absence and reason for absence no later than three hours prior to the coaching appointment or one hour prior to other programming.
  • I agree to participate in a minimum of one parent workshop per year.
  • I agree to attend all required coaching meetings.
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