JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Dolphin STEAM Saturday 9.23.23 and 9.30.23
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Register for one or both days! / Inscríbete para uno o los dos días
Student's First Name/ Primer nombre del estudiante
*
Your answer
Student's Last Name/ Apellido del estudiante
*
Your answer
Grade/Grado
*
Choose
K
1
2
3
4
5
6
Choose
K- Alvarez
K- Balys
K- Garcia
K- Vega
1- Dobson
1- Folker
1- McDonald
1- Pucelli
2- De Rueda
2- Macias
2- Mendoza
2- Volpe
3- Alexander
3- Montejano
3- Roth
3- Soto
4- Mr. Ochoa
4- Mrs. Ochoa
4- Rodriguez
5- Archard
5- Dullweber
5- Tucker
5/6- Cohenour
6- Estes
6- Martinez
6- Velasco
My child will attend the following Saturdays: /Mi hijo/a asistirá a los siguientes sábados:
Saturday, September 23rd/ Sabado 23
Saturday, September 30/ Sabado 30
My student will attend during the following hours:/ Mi estudiante va a participar a las siguientes horas:
Only 8-12pm/Solamente de 8-12pm
Think Together 12:00-5pm/Think Together 12:00- 5pm
Contact Number #1/Número de contacto #1
*
Your answer
Contact Number 2/ Número de contacto #2
Your answer
Does your child have any food allergies?/Tiene su hijo/a alergias a comida?
*
Yes
No
Does your child have any health concerns?/Tiene su hijo/a problemas de salud?
*
Yes
No
I have read and agree with all program expectations.
Parent/Guardian Signature/ He leído y estoy de acuerdo con todas las expectativas del programa. Firma de Padre o Tutor
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Perris Elementary School District.
Report Abuse
Forms
