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If you are interested in our free after school writing and tutoring programs that will be offered in spring 2019 in Mission Bay (1300 4th Street), please fill out this short interest form and we will contact you.

'iidha kunt mhtmana bibaramij alkitabat waltadris almajaniat baed aintiha' alyawm aldirasii alty sayatimu taqdimuha fi rbye eam 2019 fi myshin bay (1300 4th Street) , yrja mil'u namudhaj alaihtimam alqasir hdha wasawf natasil bika.

Email address *
Parent/Guardian's full name. aism alwalid / alwasi.
Your answer
Child's full name. aism altifl alkamil
Your answer
Child's birthdate. tarikh milad altifli.
Your answer
What is your email? mahw biridik al'iilkturuni?
Your answer
What is your phone number? ma hu raqm hatifuk?
Your answer
What is your home address? mahw eunwan munazilik?
Your answer
How did you hear about this program? kayf samiet ean hdha albarnamj?
Your answer
Does you family qualify for free and reduced price lunch at school? hal tata'ahal al'usrat lilhusul ealaa ghada' mjany bisier mukhafad fi almudrs?
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