Harlandale ISD 21st Century ACE Summer Program
Student Participant Registration June 11, 2018-July 19th 2018
Email address *
Child's Name: *
Your answer
Student ID # *
Your answer
Current Harlandale ISD School *
Current Grade: *
Home Address: *
Your answer
Parent Name: *
Your answer
Parent Contact: *
Your answer
Emergency Contact #1: *
Your answer
Emergency Contact #2 *
Your answer
Does your child have any medical concerns or allergies we should be aware of? *
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