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Confirmation Registration/Registración de Confirmación
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* Indicates required question
Email
*
Your email
Name of Child/Nombre Del Niño
*
Your answer
Address/Dirección
*
Your answer
Date of Birth/Fecha de Nacimiento
*
MM
/
DD
/
YYYY
School Attending/Escuela asiste
*
Your answer
Grade in September/Grado escolar en Sept.
*
Your answer
Preferred Language/Idioma
*
English
Spanish
Father's Name/Nombre del Padre
*
Your answer
Phone Number
*
Your answer
Mother's Name/Nombre del Madre
*
Your answer
Phone Number
*
Your answer
Parent e-mail/ Correo Electronico del los Padres
*
Your answer
Child's Email/Correo electronico del joven
*
Your answer
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