AISD Hill Elementary After-School Parent Survey
Dear AISD Hill Elementary After-School Families,

If your students currently receive after-school services from the program at Hill Elementary we will provide the same service to your family at Padron Elementary on Monday, February 6th. Please indicate on the survey below that you wish to utilize this service at Padron. The survey will be used to help us prepare for the number of students we will serve during the Hill after-school program at Padron. Additional communication will be sent regarding pick up locations at the Padron campus for after-school services.
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Does your family plan on utilizing the AISD Hill Elementary After-School service at Padron Elementary on February 6th?  *
Parent/Guardian Contact Information
Please provide the following information if you will be utilizing this service. These items will only be utilized for communication between staff and families and for identification purposes during pick-up. 
Parent/Guardian Name:
Parent/Guardian Cell Number:
Student Information 
Please provide your students name, grade, and any medical information that may be applicable to the after-school program. If you have more than three students in program please list the additional students information in the comment section at the end. 
Student Name (First):
Student Grade (First):
Student Medical Info (First):
Second Student (If applicable)
Student Name (Second):
Student Grade (Second):
Student Medical Info (Second):
Third Student (If applicable)
Student Name (Third):
Student Grade (Third):
Student Medical Info (Third):
Additional Authorized Pick-Ups
If someone other than the parent/guardian will be pick up please provide their information below.
Authorized Pick-Up Name:
Authorized Pick-Up Cell Number:
Additional Information
Please provide any additional information you would like to submit below to better assist us with serving your students and families. 
Additional Information
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