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Valley Elementary Learning Center (VELC) Registration
This is an extensive registration. The information collected will help us best serve and care for your child's needs.
Student Information
Student's Name *
Your answer
Gender *
Grade *
Student's Birthdate *
MM
/
DD
/
YYYY
Age *
Homeroom Teacher *
Address *
Your answer
Does your child have an IEP? *
Lunch status (This information helps our project with other resources, including program funding) This information remains confidential. *
Race *
Ethnicity *
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