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Parent First and Last Name

Nombre y Apellido de Padre/Tutor
*
Family Address:
(street number & name, apt/suite/spc, city, zip code)

Dirección de Familia 
(Dirección completa, numero de apartamento, codigo postal) 
*
Parent Email Address

Correo electrónico de padre/tutor
*
Parent Phone Number

Numero de Telefono de Padre/Tutor 
*
Is it okay if we send you text messages? 

Le podemos mandar mensaje de texto? 
*
Age(s) of Child(ren)

Edad(es) de Menor(es)
*
Child's Date of Birth

Fecha de Nacimiento del niño/a
*
MM
/
DD
/
YYYY
Child's Grade Level (If Applicable)  

En qué grado está su niño/a? (Si es applicable) 
Would you prefer to be in a English or Spanish classroom?  

Prefiere ver las lecciones en Inglés o Español?  
*
Required
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