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Student Success and Self-care
6:00pm - 7:00pm
Wednesday, February 5th, 2020
Natomas High School
3301 Fong Ranch Rd
Room: Library
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Parent last name./Apellido del padre.
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Your answer
Parent first name./Nombre del padre.
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Your answer
Language spoken at home / Lenguaje hablado en casa
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Your answer
Ethnicity/Etnicidad
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American Indian/Alaskan Native
Black/African American
White
Hispanic/Latino/Chicano
Chinese
Japanese
Korean
Vietnamese
Asian Indian
Laotian
Cambodian
Hmong
Other Asian
Filipino
Hawaiian
Guamanian
Samoan
Tahitian
Other Pacific Islander
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Other:
Child 1 (First Name, Last Name, Grade Level, School)/Niño 1 (Nombre, Apellido, Nivel del año, Escuela)
Your answer
Child 2 (First Name, Last Name, Grade Level, School)/Niño 2 (Nombre, Apellido, Nivel del año, Escuela)
Your answer
Child 3 (First Name, Last Name, Grade Level, School)/Niño 3 (Nombre, Apellido, Nivel del año, Escuela)
Your answer
Child 4 (First Name, Last Name, Grade Level, School)/Niño 4 (Nombre, Apellido, Nivel del año, Escuela)
Your answer
Parent phone number./Número de teléfono del padre.
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Your answer
Parent email address./ Dirección de correo electrónico del padre.
Your answer
Would you like to be added to our email list?/¿Te gustaría ser añadido a nuestra lista de correo electrónico?
Your answer
How did you hear about the event?/¿Cómo se enteró del evento?
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Your answer
Do you need translations services? If yes, specify language./ ¿Necesita servicios de traducción? En caso que si, especificar el idioma.
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Your answer
We are offering childcare services for children ages 2 and older. Do you need childcare? Please indicate names and ages of children./ Estamos ofreciendo servicios de cuidado para niños de 2 años o más.¿Necesita cuidado de niños? Por favor, incluya los nombres y edades de los hijos.
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