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2023-2024 K-12 Before and After school (ELO) Program Interest Form Formulario de interes del programa ELO K-12 del 2023-24
Please note that by filling out this form it does not guarantee a spot in the before and after school program.
Tenga en cuenta que completar este formulario no garantiza un lugar en el programa antes y después de la escuela
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Please fill out one form per student | Complete un formulario por estudiante
Contact Monica Rodriguez for more information: | Comuníquese con Monica Rodriguez para obtener más información:
Mrodriguez1@central.k12.or.us
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* Indicates required question
Email
*
Your email
Student Name (Last, First) | Nombre del estudiante (Apellido, Nombre)
*
Your answer
Student School | Escuela de Estudiante
*
Choose
MES
IES
ACES
TMS
CHS
Grade Level | Nivel de grado
*
K
1
2
3
4
5
Other:
Program Choice | Elección del programa
*
AM Program (Before School Starts ) Students must arrive by 7:10
PM Program (After school starts) 4:30pm pick up
PM Program (After school starts) 5:30pm pick up
Required
Caregiver Name | Nombre del contacto del padre
*
Your answer
Caregiver Phone # | número de teléfono
*
Your answer
Additional Questions or Comments | Preguntas o comentarios adicionales
Your answer
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