2020-2021 LMS After-School Program
Students will attend Monday, Tuesday and Thursday, Friday weekly from 3:30 - 5:30 at Jefferson Elementary and be placed on a first come, first serve basis. / Los estudiantes asistirán los lunes, martes y jueves, viernes semanalmente de 3:30 a 5:30 en Jefferson Elementary y serán asignados por orden de llegada.
Email address *
Student First Name / Primero Nombre de estudiante *
Student Last Name / Apellido Nombre de estudiante *
2020-2021 Student Grade Level / Grado del estudiante *
Parent(s) Name / Nombre de Padre(s) *
Parent(s) Mailing Address / Direccion de Padre(s) *
Parent(s) Telphone(s) / Telefono de Padre(s) *
Does you child have allergies? / Tiene alergias? *
If yes to above, please explain ? Si, por favor explique:
Bus student / estudiante de autobus? *
If yes, Bus Pick-up Location / Si, Lugar de recogida del autobus.
Emergency Contact Name and PhoneNumber / Contacto Emergencia Nombre and Numero de Telefono *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Lovington Municipal Schools. Report Abuse