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MI PRIMERA NAVIDAD EN USA
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NOMBRE DE LOS PADRES DEL NIÑO (Puede ser uno de los padres) / NAME(S) OF THE CHILD'S PARENT(S) (Can be one of the parents)
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Your answer
NOMBRE DEL NIÑO / CHILD'S NAME
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EDAD DEL NIÑO / CHILD'S AGE
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PAIS DEL CUAL PROVIENE EL NIÑO / COUNTRY OF ORIGIN OF THE CHILD
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¿CUÁNDO INGRESÓ A USA? (Por favor indicar fecha completa) /
DATE OF ENTRY INTO THE USA
(MM/DD/YYYY)
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INGRESO ECONOMICO DE TODAS LAS PERSONAS DEL HOGAR /
TOTAL HOUSEHOLD INCOME
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NUMERO TELEFONICO DE CONTACTO /
PHONE NUMBER
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EMAIL
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DE SER SELECCIONADO, SE LE ESTARÁ CONTACTANDO AL NUMERO QUE INDICÓ EN ESTE FORMULARIO. /
IF SELECTED, YOU WILL BE CONTACTED AT THE NUMBER PROVIDED IN THIS FORM.
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