2019-20 Roosevelt ASP WAITLIST Form (Roosevelt: Despues de Escuela forma de lotería para 2019-20)
The After School Program Waitlist is open. Please fill out this form to be added to the 2019-20 ASP waitlist. (La Lista de espera del Programa Después de la Escuela. Rellene este formulario para agregarlo a la lista de espera de la ASP 2019-20.)
Please check if you understand the following(Por favor revisa si entiendes lo siguiente): *
Required
Which language do you prefer to communicate? ¿Qué idioma prefieres comunicar?
Parent/Guardian Contact Name [Nombre de contacto del padre]*student names will be on the following pages. * *
Your answer
Parent/Guardian Phone number [Número de teléfono del padre] XXX-XXX - XXXX *
Your answer
Additional phone number [Otro número de teléfono] (XXX) XXX - XXXX
Your answer
Email Address [correo electrónico]
Your answer
How Many Children/Siblings in your immediate family/household would you like to enroll in ASP?[¿Cuántos niños en nuestro hogar le gustaría inscribirse en ASP?] *
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