Face It
Families Acting Collaboratively to Educate and Involve Teens
FACE IT Registration Form
FACE IT will utilize a blended learning model for the
2024/2025
school year. Most classes will take place online via Microsoft Teams; however, some will be held in person at your designated site. You are not obligated to select the site closest to your home if there is another evening that works better for your schedule. However, attendance for the in-person classes is mandatory and can only be excused for hardships. Please ensure you can travel to the designated site on each specified date.
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required fields
Student First Name:
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Please enter your first name!
Student Last Name:
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Please enter your last name!
Parent Cell Phone:
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Invalid Area Code
Invalid phone number 2
Invalid phone number 3
Student Cell Phone: (Optional)
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Invalid Area Code
Invalid phone number 2
Invalid phone number 3
Parent Email Address:
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(A confirmation email will be sent to you 1-2 school days after you register.
The message may go to your spam/junk folder, so please check that as well.)
invalid email address
Please enter your email address!
Student Email: (Personal or R2.D2)
invalid email address
Parent/Guardian Name:
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Please enter parent or guardian name!
Name of Person Completing This Registration Form:
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Please enter the name completing this form!
Your Relationship to the Youth:
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Please enter your relationship to the youth
FACE IT Class: (Select one)
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-- Please Select --
Tuesdays – Blended (Palm Harbor University High School)
Wednesdays – Blended (Osceola Fundamental High School)
Thursdays Class A – Blended (Countryside High School)
Thursdays Class B – Blended (Lakewood High School)
Please select a FACE IT location
Do you need a Spanish-speaking interpreter for FACE IT classes?
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Your response is required
(Please note, a Spanish-speaking interpreter is only available in the Thursday Class A – Countryside High School class.)
Yes
No
Gender:
Grade:
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-- Please Select --
6
7
8
9
10
11
12
Please select your grade
Please select the school your child currently attends
Middle Schools:
-- Please Select --
None
Azalea Middle School
Bay Point Middle School
Calvin Hunsinger
Carwise Middle School
Clearwater Fundamental
Clearwater Intermediate
Dunedin Highland Middle School
Disston Academy
East Lake Middle School Academy of Engineering
James B. Sanderlin IB World School
John Hopkins Middle School
Largo Middle School
Lealman Innovation Academy
Madeira Beach Fundamental
Meadowlawn Middle School
Morgan Fitzgerald Middle School
Oak Grove Middle School
Osceola Middle School
Palm Harbor Middle School
Pinellas High Innovation
Pinellas Park Middle School
Pinellas Secondary
Richard L. Sanders
Safety Harbor Middle School
Seminole Middle School
Tarpon Springs Middle School
Thurgood Marshall Fundamental
Tyrone Middle School
High Schools:
-- Please Select --
None
Bayside High School
Boca Ciega High School
Clearwater High School
Countryside High School
Disston Academy
Dixie Hollins High School
Dunedin High School
East Lake High School
Gibbs High School
Lakewood High School
Largo High School
Northeast High School
Osceola High School
Palm Harbor High School
Pinellas Gulf Coast Academy
Pinellas High Innovation
Pinellas Park High School
Pinellas Secondary
Richard L. Sanders
Richard O. Jacobson Technical High School
Seminole High School
St Petersburg High School
Tarpon Springs High School
Referring Administrator's Name:
*
Please enter an administrator's name
Offenses:
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Please select one or more offenses
Prescription Drugs
Over-The-Counter Drugs
Marijuana
Alcohol
Other - Describe
Brief description of the offense (Other)
Reason attending FACE IT:
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Please choose your reason
To fulfill requirement for Alternative to Reassignment
Voluntary enrollment
The above information will be kept in confidence.
Confidential Student Information 777777
PLEASE READ: I understand the FACE IT program is an 8-week commitment. I understand that my child and an adult must attend and participate in all classes. I understand that my child is permitted up to 3 unexcused absences and that any more than 3 will result in my child being dismissed from the program and additional disciplinary action. I understand that I must contact the site administrator or the program coordinator ahead of time to have my absences considered for excusal. I understand that the decision to excuse an absence is at the discretion of the site administrator or program coordinator. I understand that the camera on our device must be on for the entire class, and there are no exceptions to this rule. I understand that my child and I must actively participate in each class. By submitting this form, you acknowledge your agreement with the above and will abide by the PCS Code of Student Conduct during all classes.
I Agree
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You must agree to submit and continue