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Tiger Den and After-School All-Stars Power Up Enrollment/ Inscipcion de Programa de Verano Power Up
C.W. Long Middle School Registration
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Email
*
Your email
Last Name/Apellido
*
Your answer
First Name/Primer nombre
*
Your answer
Student ID/No. de identificación del estudiante
*
Your answer
Current Grade/Nivel de grado escolar de 2019-2020:
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5th Grade
6th Grade
7th Grade
IEP/Plan de Educación Individualizada
Yes/Sí
No
Unknown/No sé
Clear selection
ESOL/Programa de ingles para hablantes de otros idiomas
Yes/Sí
No
Unknown/No sé
Clear selection
Address/Dirección
*
Your answer
City/Ciudad
Your answer
Zip Code/Código postal
Your answer
Will your child need transportation?/¿Su hijo necesitará servicio de transporte escolar?
*
Yes/Sí
No
Parent Name/Nombre del padre/madre/tutor
Your answer
Primary Phone/Teléfono principal
*
Your answer
Cell Phone/Teléfono celular
*
Your answer
Email/Correo electrónico
Your answer
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