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Middle School Workshops Interest Form
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* Indicates required question
Name of student / Nombre de estudiante
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Your answer
age & grade / edad y grado
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Your answer
Name of school attended and dismissal time / Nombre de la escuela y hora de salida
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Your answer
Will this student be able to make it to Puentes on their own? / ¿Podrá este estudiante caminar o tomar el transporte público para llegar a Puentes?
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Yes
No
Is this student allowed to walk home alone from Puentes? / ¿Puede este estudiante caminar solo/a a casa desde Puentes?
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Yes
No
Best form of contact? (all communication for this program will be done through whatsapp) / ¿Mejor forma de contacto? (toda comunicación para este programa se realizará a través de WhatsApp)
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Your answer
Name and phone number of parent(s) / Nombre y número de teléfono del/de los padre(s)
*
Your answer
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