Cuba Schools - SUMMER ENRICHMENT PROGRAM - Registration Form for Summer Enrichment Program
JUNE 14 - JULY 30, 2021
APPLICATION AVAILABLE THURSDAY MAY 27 - JUNE 13, 2021

CONTACT: LaVern Wagner (505) 290-9752
Transformational Community Engagement Director
lwagner@cuba.k12.nm.us

CONTACT: Ray Sisneros (575) 289-3211 x300
Instructor
rsisneros@cuba.k12.nm.us
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Grade Level *
Home Address *
What Community Are You From?
Clear selection
Telephone Number *
Date of Birth *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cuba Independent Schools. Report Abuse
Google Forms