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2025-2026
Mesa Linda
- AYA SUNRISE: Before Program Registration Form
Fill out this form for the 2025-2026 Sunrise before school program. Please note: Enrollment is based on space availability. Your site's AYA Site Coordinator will confirm your enrollment or your waitlist status prior to the first day of program.
Complete este formulario para el programa Sunrise antes de clases 2025-2026. Tenga en cuenta: la inscripción se basa en la disponibilidad de espacio.
El personal de AYA de su escuela confirmará su estado de inscripción o lista de espera antes del
primer día del programa.
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* Indicates required question
Student First Name
*
(nombre del estudiante)
Your answer
Student Last Name
*
(apellido del estudiante)
Your answer
Gender
*
Género
Your answer
Student Date of Birth
*
(Fecha de nacimiento del estudiante)
MM
/
DD
/
YYYY
Student ID
*
(Numero de identificacion)
Your answer
Mark all that apply
*
Marca todo lo que aplique
Homeless Youth
Foster Care
other
N/A - Non Applicable - No Aplicable
Required
Student Grade in 2024-2025
*
(Grado de estudiante en 2024-25)
Choose
TK
K
1
2
3
4
5
6
7
8
9
Parent/Guardian Full name
*
Padre / Tutor Nombre completo
Your answer
Parent / Guardian phone number
*
(Numero de telefono del padre/tutor)
Your answer
Address (number & street, city, zip code)
*
Direccion (numero y calle, cuidad, codigo postal)
Your answer
Parent/ Guardian email
*
(Correo electronico del padre/tutor)
Your answer
Does the student have a 504?
*
¿El estudiante tiene un 504?
Yes
No
Does the student have an IEP?
*
¿El estudiante tiene un IEP?
Yes
No
Are there current custody or other orders such as restraining order concerning this child?
*
(¿Existe custodia actual u otras órdenes, como una orden de restricción, con respecto a este niño?)
Yes (Please provide a copy of the court order or documents to the Site Coordinator)
Si (Por favor, de proveer una copia de la orden judicial o documentos al coordinador de sitio)
No
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