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Enrollment Form
2022-2023 || VALLECITOS
Contact
Caydie Bennett, Site Coordinator
vallecitos@arc-experience.com
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* Indicates required question
STUDENT NAME (First, Middle, Last)
*
Nombre completo del estudiante
Your answer
SCHOOL
*
Escuela
Choose
Vallecitos
PROGRAM
*
Programa
AM
PM
Required
GRADE
*
Grado
Your answer
DATE OF BIRTH
*
Fecha de nacimiento
Your answer
STUDENT MAY LEAVE EARLY
*
Se va temprano todos los días
Yes
No
IF YES, WHAT TIME CAN THEY LEAVE?
En caso afirmativo, a que hora.
Your answer
REASON FOR LEAVING EARLY
Razón para irse temprano
Your answer
STUDENT MAY WALK HOME
*
El estudiante es permitido caminar a casa
Yes
No
SCHOOL COUNSELOR (if applicable)
Consejero escolar (si aplica)
Your answer
STUDENT ID#
Número de identificación del estudiante
Your answer
STUDENT HOME FULL ADDRESS
*
Dirreccion de Casa
Your answer
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