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AISD Vietnamese Dual Language Enrollment Form
Summitt Elementary School
12207 Brigadoon Lane, Austin, TX 78727
Phone: (512) 414-4484, Fax: (512) 832-1458
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* Required
Student Name
*
Your answer
DOB
*
Your answer
Parent's Name
*
Your answer
Address
*
Your answer
Contact Number
*
Your answer
Alternate Number
*
Your answer
Email Address
*
Your answer
My child's home language is:
*
English
Vietnamese
Both
Other
Other:
Required
*
I am applying for my child to enroll in the AISD Vietnamese Dual Language Program
Required
I will commit my child to the AISD Vietnamese Dual Language Program as long as my child meets the requirement to remain eligible
*
I agree
Required
I will provide integral support to the program by collaborating with the teachers in completing homework, schoolwork, field trip and other school-sponsored events
*
I agree
Required
Parent Signature
*
Your answer
Date
*
Your answer
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