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Saturday Virtual Enrollment Form for English Learners in Kinder and 1st Grade / Inscripción para el programa virtual los sábados para alumnos bilingües en Kínder y Primero
Academic Language Services / Servicios de lenguaje académico
Please submit form as soon as possible as groups are being scheduled with teachers. / Favor de llenar esta forma lo más pronto posible pues se están programando los grupos.
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* Indicates required question
Email
*
Your email
Student Email address / Correo electrónico del estudiante
*
Your answer
Student’s Name / Nombre del estudiante:
*
Your answer
ID#
*
Your answer
School / Escuela
*
Choose
Bill Childress
Canutillo Elementary
Deanna Davenport
Garcia Elementary
Jose Damian
Reyes Elementary
Grade / Grado
*
Choose
Kinder
1sts / Primer grado
Home or Mailing Address / Dirección de domicilio:
*
Your answer
City / Ciudad
*
Your answer
Zip Code / Código postal:
*
Your answer
Home Phone / Teléfono de casa:
Your answer
Cell / Celular:
*
Your answer
Please read and check each option / Favor de leer y marcar cada opción
*
I understand that the Saturday Virtual Program will be from January 9 to May 22 from 9:00-12:00 / Entiendo que el programa será los sábados del 9 de enero hasta el 22 de mayo de 9:00-12:00.
I understand that there will not be classes on March 13 and 20 due to Spring Break and Intersession / Entiendo que en marzo no habrá clases del 13 al 20 debido a descanso de primavera.e intercesión.
I understand that the program will focus on literacy, writing, math and cultural factors. / Entiendo que el programa se enfocará en destrezas de lecto-escritura, matemáticas y culturales.
Required
Print Name of Parent/ Guardian-Nombre del padre/Guardián
*
Your answer
Parent/Guardian Initials / Iniciales:
*
Your answer
Date / Fecha:
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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