The Skills Center

Pickle Ball Extravaganza
2024-08-24 08:00 - 13:00 (America/New_York) | The Skills Center, 5107 N 22nd St., Tampa, FL, 33610, United States
Pickleball Extravaganza Registration

Name

Name

First

First

Last

Last

Email

Phone

Age

Have you ever played Pickleball?

NoYes

THE SKILLS CENTER WAIVER

I understand that even when every reasonable precaution is taken, accidents can sometimes still happen. I understand the risk to my child participating in sports in the age of COVID-19 and take full responsibility to ensuring that he/she adhere to the CDC’s safety guidelines on communicable diseases as well as the rules and regulations at The Skills Center. I understand and expressly acknowledge that I release the SKILLS CENTER, INC., as well as all other partners, and their staff members from all liability for any injury, sickness, loss or damage connected in any way whatsoever to participation in THE SKILLS CENTER’S program activities.
I understand that at the discretion of Trainer, Coach and/or staff my child may be dismissed from a session, for inappropriate behavior or displaying symptoms of Covid 19.
I give permission to use, reprint, and produce any photographs or videos taken of me or my child and written materials supplied by me or my child in the form of evaluations during the sessions. I understand that such material will be used to promote the programs and organization.
The health history provided is correct so far as I know, and my son/daughter has permission to engage in all prescribed activities, except as noted by me. My son/daughter is in good health.
If your child must take medication, it is preferred that medication be given to your child before attending.
I understand that if my child uses an EpiPen or inhaler, they must bring it with them to all programs. EMERGENCY TREATMENT I understand that if a medical emergency occurs The Skills Center will contact me first, then the emergency contact person designated. If necessary, I authorize the Skills Center to arrange immediate medical treatment for my child’s health and safety. I will be financially responsible for all charges and fees incurred in the rendering of said treatment.
The skills Center will not offer refunds for Covid reasons; however, a credit will be applied for future programs.

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Open House
2024-08-14 18:00 - 20:00

Mentoring ME Youth Male Summit
2024-07-27 09:00 - 17:30

The Collab Summer STEAM Camp
2024-06-03 09:00 - 2024-08-02 15:00
The Collab Summer STEAM camp is designed to engage youth in the 6th-12th grade in a fun and enriching way. The camp will incorporate all the disciplines of STEAM: Science, Technology, Engineering, Arts, and Math.
If you’re looking for a way to keep your child engaged and learning over the summer, while also sparking their creativity and curiosity, then a STEAM camp might be the perfect option!
Through August 2, 20249am – 3pm (Monday-Friday.)
Location: The Skills Center5107 N. 22nd. St.Tampa, FL
Please review and complete the registration form below. REGISTRATION DATA IS USED TO MAINTAIN FUNDING TO PROVIDE THIS FREE PROGRAM.

Summer STEAM Camp
Summer STEAM Camp

Student Information

Student’s Name
*

Student's Name

First

First

Last

Last

Student’s School ID#
*

Student’s Age
*

Student’s Grade
*

Free or Reduced Priced Lunch
*
Free
Reduced Priced
Not Eligible
Student Ethnicity
*
Hispanic or Latino
NOT Hispanic or Latino
Student Nationality
*
Black or African American
White
Hispanic or Latino/a
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
OtherOther
Name of Student’s School
*

Parent/Guardian’s Name
*

Parent/Guardian's Name

First

First

Last

Last

Parent/Guardian’s Email
*

Parent/Guardian’s Phone
*

Emergency Contact’s Name
*

Emergency Contact’s Phone
*

Address

Address

Address

Address

City

City

State/Province

AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
State/Province

Zip/Postal

Zip/Postal

Which COLLAB programs are you interested in enrolling?
Health & AI: Your Food
Open House
Middle School Youth Opportunity
Gardening Class
Drone Aviation Camp
E-Sports Camp
The Skin You’re In: The Science of Beauty
Registration data is used for the purposes of maintaining funding to provide this pre-program.
Household Income
$0.00 – $10,000
$10,000 – $20,000
$20,000 – $30,000
$30,000 – $40,000
$40,000 – $50,000
$50,000 – $60,000
$60,000 – $70,000
$70,000 – $80,000
$80,000 – above
Number of persons living in the household
1-2
3-5
6+
PERMISSION WAIVER
I give my child permission to participate in The Skills Center Collaborative’s programs and youth focus groups. I understand that my child will participate in in person, virtual and/or online self- pace programming. Your child will be expected to complete surveys and participate in focus groups around how to better provide services to youth people and the type of program/services of their interest.
I give permission for my child to participate in The Skills Center Collaborative’s program
*
Yes
EDUCATION DATA
As part of this pilot program, we plan to assess and support your child’s academic success and would like permission to gather the following data when needed during the program about your child from Hillsborough County Public Schools or their charter/private school. We are requesting access to one or more of the following records: report card, progress report, test score, GPA, behavioral, attendance, and/or IEP.
Federal Law (FERPA) requires us to keep educational
information about your child private. We will keep your child’s records private by not sharing with anyone outside of our programs, locking/password protected
files in file cabinets when not in use. We will only use the educational data for the purposes explained and we will not save any individually identifiable educational data for your child.
I consent to release my child’s education data
*
Yes
LIABILITY RELEASE
I understand that even when every reasonable precaution is taken, accidents can sometimes still happen. I understand the risk to my child participating in programs in the age of COVID-19 and take full responsibility to ensuring that he/she adheres to the CDC’s safety guidelines on communicable diseases as well as the rules and regulations at The Skills Center. I understand and expressly acknowledge that I release The SKILLS CENTER, INC., as well as all other partners, and their staff members from all liability for any injury, sickness, loss or damage connected in any way whatsoever to participation in The SKILLS CENTER COLLABORATIVE’S program activities whether on or off the program and partners’ premises.
I understand that at the discretion of program supervisor and/or staff my child may be dismissed from the program, for inappropriate behavior and displaying symptoms of Covid-19 or other communicable diseases.
I give permission to us photographs and/or video of my child in publications, news releases, online and in other communications related to the mission of The Skills Center Collaborative and its partners.
I understand and give permission
*
Yes
EMERGENCY TREATMENT
I understand that if a medical emergency occurs The Skills Center and/or its partners will contact me first, then the emergency contact person designated. If necessary, I authorize the Skills Center to arrange immediate medical treatment for my child’s health and safety. I will be financially responsible for all charges and fees incurred in the rendering of said treatment.
I understand that if my child uses an EpiPen or inhaler, they must bring with them to all programs.
I understand and give permission
*
Yes
Signature

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If you’d like to register more than one child, click the + button to add another entry.
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Tampa Y.E.S. Girls Program
2024-06-03 09:00 - 2024-07-26 15:00
Tampa Y.E.S is designed to empower girls in the 5th-8th grade. We will provide academic support, life skills, and promote healthy minds and bodies with lessons, physical activity, and mentorship. The girls involved in the program will be able to participate in field studies and trips for exposure to enhance learning. There is no cost to participate in this program, all trips and field studies are also free. We offer the following camps when there is no school. Spring Break Camp, Summer Camp, Fall and Winter Camp.

Tampa Y.E.S. Summer Camp Registration
Tampa Y.E.S. Summer Camp Registration

Name
*

Name

First

First

Last

Last

Email
*

Phone
*

Address
*

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe
Country

Date of Birth
*

School Name
*

School ID Number
*

Grade Level
*

Free or Reduced Price Lunch
*

FreeReduce PriceNot Eligible
Student Race
*

Black or African AmericanWhiteHispanic or LatinoAmerican Indian or Alaska NativeAsianNative Hawaiian or Other Pacific IslanderOther
Student Race
Student Ethnicity
*

Hispanic or LatinoNOT Hispanic or Latino
PARENT OR GUARDIAN INFORMATION
Name
*

Name

First

First

Last

Last

Email
*

Phone

Address
*

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe
Country

REGISTRATION DATA IS USED FOR THE PURPOSES OF MAINTAINING FUNDING TO PROVIDE THIS FREE PROGRAM.
Household Income
*
$0.00 – $10,000
$10,000 – $20,000
$20,000 – $30,000
$30,000 – $40,000
$40,000 – $50,000
$50,000 – $60,000
$60,000 – $70,000
$70,000 – $80,000
$80,000 – above
Number of people living in household ?
*

PERMISSION WAIVER
I give my child permission to participate in The Skills Center Collaborative’s programs and youth focus groups. I understand that my child will participate in person, virtual and/or online self- pace programming. Your child will be expected to complete surveys and participate in focus groups around how to better provide services to youth and the type of program/services of their interest.
EDUCATION DATA
We plan to assess and support your child’s academic success and would like permission to gather the following data when needed during the program about your child from Hillsborough County Public Schools or their charter/private school. We are requesting access to one or more of the following records: report card, progress report, test score, GPA, behavioral, attendance, and/or IEP.
Federal Law (FERPA) requires us to keep educational information about your child private. We will keep your child’s records private by not sharing with anyone outside of our programs, locking/password protected files in file cabinets when not in use. We will only use the educational data for the purposes explained and we will not save any individually identifiable educational data for your child.
LIABILITY RELEASE
I understand that even when every reasonable precaution is taken, accidents can sometimes still happen. I understand the risk to my child participating in programs in the age of COVID-19 and take full responsibility to ensuring that he/she adheres to the CDC’s safety guidelines on communicable diseases as well as the rules and regulations at The Skills Center. I understand and expressly acknowledge that I release The SKILLS CENTER, INC., as well as all other partners, and their staff members from all liability for any injury, sickness, loss or damage connected in any way whatsoever to participation in The Tampa Y.E.S program activities whether on or off the program and partners’ premises.
I understand that at the discretion of program supervisor and/or staff my child may be dismissed from the program, for inappropriate behavior and displaying symptoms of Covid-19 or other communicable diseases.
I give permission to us photographs and/or video of my child in publications, news releases, online and in other communications related to the mission of The Skills Center Collaborative and its partners.

EMERGENCY TREATMENT
I understand that if a medical emergency occurs The Skills Center and/or its partners will contact me first, then the emergency contact person designated. If necessary, I authorize the Skills Center to arrange immediate medical treatment for my child’s health and safety. I will be financially responsible for all charges and fees incurred in the rendering of said treatment.
Emergency Contact Name
*

Emergency Contact Name

First

First

Last

Last

Emergency Contact Phone
*

Captcha

Submit

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Free Community Health Fair
2024-04-20 10:00 - 13:00
Click on flyer to register.

Florida Blue Health Fair Registration Form

Name
*

Name

First

First

Last

Last

Email
*

Phone

Age

Family Size

Zip Code

Are you a Florida Blue member?

NoYes

If not, are you interested in more information?

YesNo

Are you looking to have a mammogram completed today?

NoYes

Submit

If you are human, leave this field blank.
