HISD ACE Summer Camp 2019 - Programa de Verano del ACE Harlandale ISD
"Adventure Awaits"
June 10th - July 18th
Monday - Thursday
8:00am - 3:30pm
Email address *
Child's Name/ Nombre del Estudiante *
Your answer
Student ID #/ID del Estudiante:
Your answer
Current HISD Campus/Escuela de HISD actual: *
Student Current Grade/Grado actual: *
Student Home Address/Domicilio: *
Your answer
Parent Name/Nombre del Padre o Madre: *
Your answer
Parent Contact Number/Contacto de Padre o Madre *
Your answer
Emergency Contact Name/Contacto de Emergencia *
Your answer
Emergency Contact Number/Nombre del Contacto de Emergencia: *
Your answer
Does your child receive any Special Education or 504 services?/¿Recibe su hijo algún servicio de Educación Especial o 504? *
Does your child have any medical concerns or allergies we should be aware of? If yes, please list in detail below. /Tiene su hijo alguna enfermedad medica o alergias que debamos conocer? *
Your answer
Does Harlandale ISD have permission to take your child's picture and/or video while participating in activities? The photographs/video may be used to positively promote the events of the 2019 TX ACE Summer Program and/or the school and/or school district in several forms of media, including, but not limited to, the website, newspaper, and newsletter. /HarlandaleISD tiene permiso para tomar la foto y/o el video de su hijo mientras participa en actividades? Las fotografias/videos se pueden usar para promover postivamente los eventos del Programa de Verano 2019 TX ACE y/o la escuela y/o el distrito escolar en varias formas de medio sociales, que incluyen, entre otros, el sitio web, el periodico y el boletin. *
Does your child currently participate in the ACE afterschool program?/Su hijo participa actualmemte em el programa despues de la escuela ACE? *
Please list any additional information you wish for us to know about your child./Favor de anotar cualquier otra informacion que desee comunicarnos sobre su hijo/a.
Your answer
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 Harlandale ISD. Report Abuse - Terms of Service