2021-2022 Fall Student Registration Form
Welcome families to the 2021-2022 school year! We are very excited to start our Fall In-person programs September 7, 2021, and to see your scholars back in programs again! Bienvenidos padres y alumnos a nuestro año escolar 2021-2022! Estamos muy emocionados de comenzar nuestros programas de otoño en persona el 7 de septiembre de 2021 y de ver a sus estudiantes nuevamente en los programas!
Student Name #1/Nombre del Alumno(a)
*
First Name
Middle Name
Last Name
Gender/Genero
*
Male
Female
N/A
Student Grade /Grado Actual
*
kinder
1st
2nd
3rd
4th
5th
Students in the grades K-5th will have the option to choose as many after school programs with in the 15 student limit. (However, if we provide another person, we will go up to 25 students per classroom./ Los estudiantes de los grados K al 5 tendrán la opción de elegir tantos programas extracurriculares dentro del límite de 15 estudiantes. (Sin embargo, si proporcionamos a otra persona, subiremos a 25 estudiantes por aula.
K-1st Music Sign Language with Diana Salinas
2nd-3rd Music Sign Language with Diana Salinas
4th-5th Music Sign Language with Diana Salinas
1st-5th AR & Hotspot with Jose Villegas
2nd-5th Perler Club with Harlie Tamez
3rd-5th STEM with Harlie Tamez
K-1st Arts and Crafts with Daniella Rodriguez
2nd-3rd Arts and Crafts with Daniella Rodriguez
4th-5th Arts and Crafts with Daniella Rodriguez
1st-3rd Loom Band with JoDee Tamez
4th-5th Loom Band with JoDee Tamez
3rd-5th Girls Volleyball
3rd-5th Boys Flag Football
K-5th Boys/Girls Soccer with Coach Flavin
Back
Next
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 Name
Middle Name
Last Name
Gender/genero
*
Male
Female
N/A
Student Grade/ Grado Actual
kinder
1st
2nd
3rd
4th
5th
Back
Next
Students in the grades K-5th will have the option to choose as many after school programs with in the 15 student limit. (However, if we provide another person, we will go up to 25 students per classroom./ Los estudiantes de los grados K al 5 tendrán la opción de elegir tantos programas extracurriculares dentro del límite de 15 estudiantes. (Sin embargo, si proporcionamos a otra persona, subiremos a 25 estudiantes por aula.
K-1st Music Sign Language with Diana Salinas
2nd-3rd Music Sign Language with Diana Salinas
4th-5th Music Sign Language with Diana Salinas
1st-5th AR & Hotspot with Jose Villegas
2nd-5th Perler club with Harlie Tamez
3rd-5th STEM with Harlie Tamez
K-1st Arts and Crafts with Daniella Rodriguez
2nd-3rd Arts and Crafts with Daniella Rodriguez
4th-5th Arts and Crafts with Daniella Rodriguez
1st-3rd Loom Band with JoDee Tamez
4th-5th Loom Band with JoDee Tamez
3rd-5th Girls Volleyball
3rd-5th Boys Flag Football
K-5th Boys/Girls Soccer with Coach Flavin
Signature/Firma
Date/Fecha
-
Month
-
Day
Year
Date
Submit
Should be Empty: