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* Indicates required question
Student's First Name / Nombre del estudiante:
*
Your answer
Student's Last Name / Apellido del estudiante:
*
Your answer
Monday - Wednesday / Lunes - Miercoles
or / o
Wednesday - Friday / Miercoles - Viernes
Monday - Wednesday / Lunes - Miercoles
Wednesday - Friday / Miercoles - Viernes
10am - 11am
11am - 12pm
12pm - 1pm
Monday - Wednesday / Lunes - Miercoles
Wednesday - Friday / Miercoles - Viernes
10am - 11am
11am - 12pm
12pm - 1pm
Grade / Grado:
*
1st
2nd
3rd
4th
5th
6th
Parent's Name / Nombre de los Padres:
*
Your answer
Phone # / Numero del Telefono:
*
Your answer
Parent's Email / Correo Electronico de los padres:
*
Your answer
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