JUNTOS PROGRAM REGISTRATION
Juntos is It is a 5 week program for middle school students and their parents. Each Week we focus on different aspects to succeed academically.

Week 1: making education a family goal
Week 2: effective communication at home
Week 3: from middle school to high school
Week 4: from high school to higher education
Week 5: graduation: ready to be a successful student

Juntos es un programa de 5 semanas para estudiantes de secundaria y sus padres . Cada semana nos enfocamos en diferentes aspectos para tener éxito académicamente.

Semana 1: hacer de la educación una meta familiar
Semana 2: comunicación efectiva en casa
Semana 3: de secundaria a preparatoria
Semana 4: de la escuela preparatoria a la educación de colegio
Semana 5: graduación: listo para ser un estudiante exitoso

Use this form to register for the 5 week Junots Program.
Use este formulario para registrarse en el programa Junots de 5 semanas.
Email address *
Sessions held at John XXIII EDUCATIONAL CENTER ROOM 206. Las Sesiones seran en El CENTRO EDUCATIVO Juan XXIII Salon 206
1101 DOUGLAS AVE
RACINE, WI. 53402
IF YOU NEED TO REGISTER MORE THAN ONE MIDDLE SCHOOL STUDENTS, PLEASE COMPLETE A NEW FORM.
SI NECESITA REGISTRARSE MÁS DE UN ESTUDIANTE DE ESCUELA INTERMEDIA, COMPLETE UN NUEVO FORMULARIO.
PHONE NUMBER / NUM DE TELEFONO *
Your answer
*
Your answer
CHILD'S FIRST NAME / PRIMER NOMBRE DE SU HIJO/A *
Your answer
CHILD'S CURRENT GRADE /GRADO DE NIÑO/A *
Required
CHID'S CURRENT SCHOOL / ESCUELA ACTUAL DEL NIÑO (A) *
Your answer
ADDRESS / DOMICILIO *
Your answer
FATHER'S LAST NAME / APELLIDO DE PAPA
Your answer
FATHER'S FIRST NAME / PRIMER NOMBRE DE PAPA *
Your answer
MOTHER'S LAST NAME / APELLIDO DE MAMA
Your answer
MOTHER'S FIRST NAME/ PRIMER NOMBRE DE MAMA
Your answer
DO YOU NEED CHILD CARE DURING THE SESSION? ¿NECESITA CUIDADO INFANTIL DURANTE LA SESIÓN? *
ACKNOWLEDGEMENT/RECONOCIMIENTO *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of ACTS Youth Ministry. Report Abuse