EMVT STEM & Robotics Academy Student Registration Form
Due to continued COVID-19 precautions, our EMVT STEM & Robotics Academy will be virtual and take place from 9AM - 4PM, Monday - Thursday from June 3rd (Wed.) - June 26th./Debido a las continuas precauciones de COVID-19, nuestra Academia EMVT STEM & Robotics será virtual y tendrá lugar de 9AM a 4PM, de lunes a jueves del 3 de junio (miercoles) al 26 de junio.

Funded by the Central Texas Summer Learning Investment Hub and the Harman-Mayes-Sooch Family Fund

Eastside Memorial Vertical Team
2020 STEM & Robotics Academy
Science, Technology, Engineering, and Math
Summer School Registration Form
Forma de Inscripción Para Escuela  de Verano
(Ciencias, Tecnología, Ingeniería y Matemáticas)

Please complete this form no later than Friday, May 15th.
Por favor Ilene esta forma antes de 15 de Mayo.
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Email *
Student Name; Nombre del Estudiante *
Student ID#/Numero de Estudiante *
Grade/Grado (Incoming for 20-21 School Year) *
School/Escuela *
Teacher/Maestro *
My child has access to an electronic device (computer, tablet, or cellphone) from June 1 - June 26/Mi hijo tiene acceso a dispositivo electrónico (computadora, tableta o teléfono celular) a del 1 de junio al 26 de junio. *
If yes, the electronic device my student has is.../ En caso afirmativo, el dispositivo electrónico que tiene mi estudiante es ...
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My child has access to internet from June 1-June 26/Mi hijo tiene acceso a internet del 1 de junio al 26 de junio. *
Parent Name/Nombre de Padre *
Phone/Telefono # *
Address/Direccion *
E-mail/Correo Electronico *
Is your student in Special Education? *
If yes, what supplementary aids and services are required to support student's success?
Is your student bilingual? *
Media Release/Comunicado de prensa: I give permission for my child to be photographed or video recorded for school purposes/Yo doy permiso para que mi hijo/a sea fotografiado o video grabado para la escuela. *
Student Shirt Size/Camisa de estudiante: *
I am planning to pick up lunch at one of the AISD sites this Summer/Estoy planeando recoger el almuerzo en uno de los sitios de AISD este verano.
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Emergency contacts/Contactos de emergencia: (Name, Phone, Relation)/ (Nombre, Telefono, Relacion) *
What additional information would you like us to know about your student? (I.e. Learning needs, Technology Access Times, Accommodations needed, etc.)/ ¿Qué información adicional le gustaría que supiéramos sobre su estudiante? (Es decir, necesidades de aprendizaje, tiempos de acceso a la tecnología, adaptaciones necesarias, etc.) *
Questions? Concerns? / Preguntas? Preocupaciones?
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