Family Registration


Join KLRN for a special Lyla in the Loop Screening and Family Activities.
¡Acompañe a KLRN para este evento! ¡Tendremos actividades divertidas para niños, comida, premios y más!

Fill out this registration to attend this special Family Event.
(Porfavor llene este registro para asistir este evento)

Event Details
Special Screening & STEAM Activities
KLRN
501 Broadway, 78215
July 12 from 10-11:30 AM

Please note that this is an event meant for the parent/caregiver and child children.
(Tenga en cuenta que este evento es para que los padres o cuidadores asistan con sus hijos)

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* 1. Contact information (Información de contacto)

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* 2. How many adults will attend this event including you? (¿Cuántos adultos asistirán a este evento incluyéndolo a usted?)

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* 3. How many children will attend this event with you? (¿Cuántos niños asistirán a este evento?)

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* 4. What are the ages of the children attending with you?
(¿Cuáles son las edades de los niños que asistirán con usted?)

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* 5. Are you a part of the United Way Dual Generation Initiative?
(Es usted parte de la iniciativa de Dual Generation con United Way?)

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* 6. What Dual Generation Agency are you associated with?
(¿Con qué agencia de dual generation está asociado?)

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* 7. Do you or anyone attending the event have a food related allergy, if so list below. If you request a vegetarian/vegan option please state below.

(¿Usted o alguien que asistirá al evento tiene una alergia relacionada con los alimentos? Si es así, enumere a continuación. Si solicita una opción vegetariana / vegana, indique a continuación.)

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* 8. Would you like to be added to the FREE Text Messaging Service Bright By Text? ​Bright by Text sends free activities, games, and resources right to your cell phone. Messages are targeted to your child’s age (0-18 Years) and include information on child development, language and early literacy, health and safety, behavioral tips, and more!/ Bright by Text le manda actividades, juegos, y recursos gratuitamente a tu celular.
Mensajes son dirigidos a la edad de tu niño e incluye información sobre el desarrollo de los jóvenes, lenguaje y alfabetismo, salud y seguridad, consejos para el comportamiento, y más!

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* 9. If you answered yes to sign up for Bright By text please add your cell phone number here./ Para inscribirse por favor de compartir su numero de celular.

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* 10. If you answered yes to sign up for Bright By text please add the date of birth mm/dd/yy for your youngest child. / Para Insrbirse por favor de compartir la fecha de nacimiento de su nino/a mas chico.

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* 11. If you are interested in receiving Bright by Text messages what is your preferred language to receive messages? / Cual language prefiere para los mensajes de Bright By Text?

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