K12 HLP Parenting Online Registration Form
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Hacienda La Puente Adult Education
Parent's Full Name (Nombre completo del padre) *
Phone number (Telefono) *
Home Address (Dirección) *
City / Ciudad *
Zip Code / Código postal *
Email Address (Note: Needs to be your email not shared by anyone. Giving us an email that someone else is using will delay your registration) / Dirección de correo electrónico (Nota: debe ser su correo electrónico no compartido por nadie. Si nos da un correo electrónico que otra persona está usando, se retrasará su registro). *
Gender (Genero) *
Your Date of Birth (Su fecha de nacimiento) *
MM
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DD
/
YYYY
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