EDCAC Registration Form

EVERY DAY COUNTS ATTENDANCE CHALLENGE
Oakland Natives Give Back has partnered with OUSD to offer the Every Day Counts Attendance Challenge to your student's school. Only 60 students will be selected this year to win the $500.00 award for coming to school ontime each day.
You must complete this survey to officially enter your child's into the challenge. All entries must be made by Friday, November 8th to be considered for Round 1 of the challenge.
-Good luck to all our student/families. We will see our first 20 winner in December 2019!
Student Registration Form
Fill out the form carefully for Registration
1. Student Name*
First NameMiddle NameLast Name
How Many Students*
Birth Date*
MonthDayYear
Gender*
Grade Level*
School Name*
2. Student Name*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
Grade Level*
School Name*
3. Student Name*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
Grade Level*
School Name*
4. Student Name*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
Grade Level*
School Name*
5. Student Name*
First NameMiddle NameLast Name
Birth Date*
MonthDayYear
Gender*
Grade Level*
School Name*
PARENT/GUARDIAN AND HOUSEHOLD INFORMATION.
Only the student's parent or legal guardian may complete this section.
Parent Name*
First NameLast Name
Does your child qualify for free or reduced lunch?*
YesNo
College Degree*
YesNo
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Parent E-mail*
Mobile Number*
Area CodePhone Number
Phone Number
Area CodePhone Number
Work Number
Area CodePhone Number
What is the best way to contact you?
STUDENT ACADEMIC RELEASE
Only the student's legal guardian may complete this form
By initialing here, you agree and understand that registration no way guarantees your child will win the challenge prize of $100. *
Initials
By initialing here, you understand that images of you or your child may be captured and you consent to ONGB/partners using this image and likeness at a later date for any purpose. *
Initials
By initialing here, you agree and understand that by registering for this contest, you are entering your child into the Every Day Counts Attendance Challenge (EDCAC). You further understand, only students with a completed EDCAC Application and Student Release form signed by the parent or legal guardian will be entered into the attendance challenge drawing.*
Initials
By initialing here, you are agreeing to share your child's name publicly if he or she wins. *
Initials
By initialing here, you are agreeing for ONGB to contact you in the future about ONGB Programs. *
Initials
Your signature below gives consent for Oakland Natives Give Back to communicate with your child's school to verify your contact information (name, address, phone number) and to obtain academic records including but not limited to attendance and GPA data for your children during the 2019-2020 school year. *
Clear
Additional Comments
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EVERY DAY COUNTS ATTENDANCE CHALLENGE

Student Registration Form

PARENT/GUARDIAN AND HOUSEHOLD INFORMATION.

STUDENT ACADEMIC RELEASE