IDEA Mission Summer (K-5th grade) 2021 Registration Form

IDEA Mission Summer (K-5th grade) 2021 Registration Form

2021 Summer Student Registration Form

Welcome families to the 2021 summer programs! We are very excited to start our Summer programs in person June 1st -July 2nd, 2021. We have hard copies of our summer applications as well. ¡Bienvenidos familias a los programas de verano de 2021! Estamos muy emocionados de comenzar nuestro programas de verano en persona del 1 de junio al 2 de julio de 2021. También tenemos copias impresas de nuestras solicitudes de verano.
Student Name #1/Nombre del Alumno(a) *

First NameMiddle NameLast Name
Birth Date/Fecha de Nacimiento*

MonthDayYear
Gender/Genero*
Student Grade /Grado Actual*
Please list any health concerns your child may have (allergies, illnesses, prescribed medications). / Favor de informarnos si su hijo/a tiene algun progrema de salud(alergias,enfermedades,medicamentos)*
Students in the grades K-5 will have the option to choose our Arts & Crafts camp. Students in grades 2nd-5th grade will have the option to choose our sports camps. You may choose two if you want to participate in both. Los estudiantes de los grados K-5 tendrán la opción de elegir nuestros campamentos de Artes y Oficios. Los estudiantes de 2º a 5º grado tendrán la opción de elegir nuestros campamentos deportivos. Puede elegir dos si desea participar en ambos.

2nd-5th Sports Camps (25 slots/25 espacios)K-5th Academy Arts & Crafts Camp (25 slots/25 espacios)
Address/Direcion

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you have have another child that you want to register in 21st Century programs? /Desea registrar a otro alumno(a) a nuestros programas? *Esta aplicacion, puede registar 2 alumnos solamente**

Yes.No
Student Name #2*

First NameMiddle NameLast Name
Birth Date/ Fecha de Nacimiento*

MonthDayYear
Gender/genero*
Student Grade/ Grado Actual
Please list any health concerns your child may have (allergies, illnesses, prescribed medications). / Favor de informarnos si su hijo/a tiene algun progrema de salud(alergias,enfermedades,medicamentos)

Students in the grades K-5 will have the option to choose our Arts & Crafts camp. Students in grades 2nd-5th grade will have the option to choose our sports camps. You may choose two if you want to participate in both. Los estudiantes de los grados K-5 tendrán la opción de elegir nuestros campamentos de Artes y Oficios. Los estudiantes de 2º a 5º grado tendrán la opción de elegir nuestros campamentos deportivos. Puede elegir dos si desea participar en ambos.

2nd-5th Sports Camps (25 slots/25 espacios)K-5th Academy Arts & Crafts Camp (25 slots/25 espacios)
Parent/Guardian Information

Informacion de padre de familia o guardian.
Parent #1

First Name/Primer nombreMiddle Name/Last Name
Mobile Number/Numero de telefono
Parent Email Address/Correo Electronico
example@example.com
Parent #2

First NameMiddle NameLast Name
Phone Number/Numer de telefono
Parent Email Address/Correo Electronico
example@example.com
Emergency Contact and Transportation Information

In the event that we return to campus and in-person programming, we will need to have a record of your child's approved emergency contacts. Please complete the information below.En caso de regresar al salon de clases y programas en persona, nos gustaria colectar la informacion de contactos de emergencia.
Emergency Contact #1 /Contacto de emergencia #1 *
Relationship to Student/relacion al alumno(a)*
Contact Phone Number/Numero de telefono*
Emergency Contact #2/Contacto de emergencia #2
Relationship to Student/relacion al alumno(a)
Contact Phone Number/Numero de telefono
Emergency Contact #3
Relationship to Student/relacion al alumno(a)
Contact Phone Number/Numero de telefono
How is it that your child gets home?/Como es que su hijo(a) llega a casa.
**PLEASE READ THE FOLLOWING BEHAVIOR POLICY EXPECTATIONS CAREFULLY. CHECK EACH BOX TO ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTAND AND SUPPORT YOUR CHILD'S APPROPRIATE BEHAVIOR WHILE THEY PARTICIPATE IN 21ST CENTURY**/ Favor de leer la poliza de comportamiento, y expectativas. Yo me comprometo y entiendo que mi hijo(a) de de tener buena coducata para participar en nuestros programas de 21st Century.*

I understand that if my child does not follow the rules, he or she will receive a verbal warning, and notification of that warning will be sent home. / Entiendo que si mi niño/a nosigue las reglas él o ella recibe una advertencia verbal.I understand that if the behavior issues continue, I will receive a phone call about my child's behavior. / Entiendo que si la mala conducta continúa,recibiré una llamada telefónica sobre mi hijo(a)I understand that if the behavior issues continue after the phone call, my child will be dismissed from the program. / Entiendo que si el problema continúa, despedirána mi hijo(a) del programa.I understand that fighting and/or inappropriate behavior will result in immediate dismissal from the program. I hereby give permission for the participant(s) listed in this application to take part in Texas 21st Century activities. / Entiendo que el pelear y el comportamiento inadecuadodarán lugar a despido inmediato de el programa.YO le doy permiso a mi hijo (a) departicipar en el programa Tejas ACE, que consiste de asistencia académica, y recreación y deporte.I understand that because this program is grant funded, my child will commit to attending programs 2-5 times a week./Yo me comprometo a que mi hijo(a) asistan a los programas 2-5 dias a la semana.I understand that if my child does not participate virtually, they may not be eligible for in-person programming, if that becomes available./Yo entiendo que si mi hijo(a) no participa en los programas virtuales, puede que no sea elegido para los programas ya que regresemos a la escuela.
Signature/Firma

Clear
Date/Fecha

MonthDayYear
Date
Should be Empty: