ACE Student Application                                      SUMMER 2023
IMPORTANT: Summer school will be at Guzman Elementary for K-5 and at the Donna HS for 6-12 grades.  Breakfast, lunch, and transportation will be available. Summer operations will be M-TH 8:00 a.m.--2:00 p.m. starting June 5,  2023--July 6, 2023.  All students must have a complete ACE application in order to participate in ACE and must be present in ACE for at least 4 hours daily before they may be picked up in the afternoon before ACE ends.  Only students at the following schools may participate:  LeNoir, Adame, Rivas, Caceres, Stainke, Ochoa, Guzman, AP Solis, Todd, and Donna High School.  For more information, call at 956-464-1771.                
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Email *
Which school does your child attend?  ¿A qué escuela asiste su hijo? *
Name of student.  Nombre del alumno. *
Date of Birth (DOB).  Fecha de nacimiento. *
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Age./Edad. *
Bus number./Numero de autobus.  If student will be picked up, indicate "pick up".  Students must remain in ACE at least 4 hours daily before they may be picked up.  Si va a pasar por su hijo despues de ACE, indicar "paso por mi hijo". Los estudiantes deben de permanecer en ACE por lo menos 4 horas diarias antes que puedan pasar por ellos. 
Student School ID Number.  Numbero de identificacion escolar del alumno.
Grade Level.  Nivel. *
Parent/Guardian's Name.  Nombre de padre/guardian. *
Physical Address.  Domicilio. *
Cell Phone Number.  Numero de celular. *
Place of Employment.  Lugar de empleo.
Work Phone Number.  Telefono de empleo.
Emergency Contact.  Contacto de emergencia.
Emergency Phone Number.  Numero de telefono de emergencia.
Relationship of contact for emergencies.  Relacion del contacto de emergencia.
The following person has my permission to pick up my child.  His/her phone number.  La siguiente persona puede recojer a mi hijo/hija.
What is the health condition of child?  (Glasses,Diabetic, Asthma, Epilepsy, Allergies, Other, or None). Cual es la salud de su hijo/a? (Antiojos, diabetico, asthma, epilesi, alergias, otro, nada).
Daily medications.  Medicamentos diarios.
Did your child advanced to next grade level?  ¿Su hijo avanzó al siguiente nivel de grado? *
CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NON-PROFIT USE(E.g. educational, public service, or health awareness purposes) Consentimiento Para Fotografiar y Filmar A Un Estudiante Con Uso Sin Fines De Lucro(ej. educacional, servicio público, o propósito de conciencia de salud) *
IMPORTANT:  Parent/Guardian Signature.  Typing your name is equivalent to your signature. Firma de padre/guardian. Teclar su nombre es equivalente a su firma.   *
Date/Fecha *
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