ROAR Enrichment Program 2024-2025  
Must fill this form out for each student attending the After School Program now called, ROAR Enrichment Program. Due no later than August 14, 2024. 
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Student Legal First Name (required)/Primer Nombre Legal de Estudiante (requerido)  *
Student Legal Middle Name/ Segundo Nombre Legal de Estudiante
Student Legal Last Name (required)/ Apellido Legal de Estudiante (requerido) *
Student Gender (required)/ Género de Estudiante (requerido) *
Student Date of Birth (Required)/ Fecha de Nacimiento de Estudiante (requerido) *
MM
/
DD
/
YYYY
Grade Level (Grade student will be in for the 2024-2025 school year) (required)/ Nivel de Grado (Entrando al año 2024-2025 de Escuela) (requerido) *
Student Physical Address (required)/ Dirección Física (requerido)  *
City (Required)/ Ciudad (requerido) *
Required
State (Require)/ Estado (requerido) *
Student Mailing Address (Required)/ Direccion de Envio (requerido) *
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