DISTRITO ESCOLAR DEL CONDADO DE KLAMATH INSCRIPCIÓN PARA LA ESCUELA DE VERANO MIGRANTE/EL 2023/ KCSD Migrant and English Learner Summer School Registration for 2023
** Por favor llene esta aplicación lo antes posible. Fecha límite:  26 de mayo, 2023/  Please fill out this form as soon as possible, no later than May 26th, 2023.
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Email *
PRIMER NOMBRE DEL ALUMNO/First name of student: *
Apellido/last name of student *
For which program are you registering your child? *
Required
MI ESTUDIANTE ES/ My child is: *
SU EDAD/Their age: *
SU GRADO (SALIENDO)/ Leaving which grade *
FECHA DE NACIMIENTO/ Date of birth: *
MM
/
DD
/
YYYY
ESCUELA A LA QUE ASISTE/ASISTIÓ/ School that they last attended: *
NOMBRE DEL PADRE/TUTOR/ Name of parent/guardian: *
DOMICILIO DEL HOGAR/ Home Address *
DIRECCIÓN POSTAL/ Mailing Address: *
CIUDAD/ City: *
CÓDIGO POSTAL/ Zip Code: *
TELÉFONO DE CASA/ Home phone number: *
TELÉFONO DE CONTACTO DE EMERGENCIA/ Emergency phone number: *
EL ESTUDIANTE ES/ The student is: *
Required
CORREO ELECTRONICO DE PADRE/TUTOR/ Email address of parent/guardian: *
Alergias o descapacidades/ allergies or disabilities *
Permiso de uso de fotos/videos/ Permission for photo and video use *
A copy of your responses will be emailed to the address you provided.
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