LifeWorks Ohio Choose Life! Program   2024-25

Day School Scheduling Form

QUESTIONS? We welcome your questions! Call us at (216) 661-6616
Feel free to share our contact information with parents.

Our program's cost is $180 for each classroom. A second classroom of the same grade is an additional $100

  • Cost includes 30 students, additional students are $3 per student
  • A Parish's "Rooted In Faith" grant may be used to cover the classroom costs.

School Information:

Contact Person Information:

Session Preferences:

First Choice (required)

Second Choice (required)

Number of sessions per week:
Students' retention is best with at least 2 sessions per week

Tell us your first and second choice of days and times for each class.
(example: Mon/Wed 9-9:45 or Tues/Thurs 10-10:45)

Grade 6(a): 
     
Grade 6(b): 
     
Grade 6(c): 
     
Grade 7(a): 
     
Grade 7(b): 
     
Grade 7(c): 
     
Grade 8(a): 
     
Grade 8(b): 
     
Grade 8(c): 
     

Classroom Accomodations: (yes/no questions are required)

If YouTube is blocked, please be sure the teacher knows the password to unblock.

Computers:   Mac    PC    Smart TV
Snow Days:
Special Needs:
Miscellaneous Information: