2021-2022 Rio Tierra Expanded Learning Program Interest Form (Formulario de Interés para Programa Después de Escuela en Rio Tierra)
Expanded Learning Programs serve eligible students in grades K-8 at participating schools. (EC & 8432.3(a).)

Los Programas de Despúes de Escuela sirven a estudiantes elegibles en los grados K-8 en las escuelas participantes. (EC y 8432.3 (a).)


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Email *
Please complete one Interest Form per student (Por favor complete un formulario de interés por estudiante)
Status of interest forms submitted, additional information and instructions will ONLY be sent to the email provided on this form: (Resultados del formulario, información adicional e instrucciones SOLAMENTE se enviarán al correo electrónico que se proporciona en este formulario):

Student First Name (Nombre del alumno) *
Student Last Name (Apellido del alumno) *
Permanent Student ID# (Número permanente del alumno)
Student DOB (Fecha de nacimiento del alumno) *
MM
/
DD
/
YYYY
Parent/Guardian Name (Nombre del Padre/Tutor Legal) *
Parent/Guardian Phone Number (Número telefónico del Padre/Tutor Legal) *
Parent/Guardian Alternate Phone Number (Número telefónico adicional del Padre/Tutor Legal
Please confirm email address for Parent/Guardian (Por favor confirme el correo electrónico del Padre/Tutor Legal) *
I UNDERSTAND: *
Required
A copy of your responses will be emailed to the email address you provided.  Check your Spam/Junk E-mail folder if you do not receive it. Parents/Guardians will be notified of their child(ren)'s enrollment status beginning the week of August 9, 2021.
Una copia de sus respuestas sera enviada a su correo electronico. Si no recibe dicha copia revise su carpeta de Spam. Los padres de familia seran notificados del estado de su aplicacion comenzando la semana del 9 de agosto, 2021.
A copy of your responses will be emailed to the address you provided.
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