Student Street Address, City-Dirección del estudiante, ciudad *
Your answer
Student Phone number (if applicable)-Número de teléfono del estudiante (si corresponde)
Your answer
Student Grade for NEXT school year-Calificación del estudiante para el PRÓXIMO año escolar *
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Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Parent Name-Nombre del padre *
Your answer
Parent Email Address - Correo electrónico de los padres
Your answer
Parent Phone number-Número de teléfono de los padres *
Your answer
Emergency Contact Name and Phone number (other than Parent listed above)-Nombre y número de teléfono del contacto de emergencia (que no sea el padre mencionado anteriormente) *
Your answer
Medical Conditions - Please advise of any medical conditions that staff need to be aware of - Condiciones médicas: informe sobre cualquier condición médica que el personal deba conocer. *
Your answer
Camp *
Agreement *
Required
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