Parent Name
Nombre del padre

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* 1. Parent Name
Nombre del padre

Student Name
Nombre del estudiante

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* 2. Student Name
Nombre del estudiante

Grade Level
Grado 

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* 3. Grade Level
Grado 

I am interested in tuition after school programs
Estoy interesado en un programa de cuota

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* 4. I am interested in tuition after school programs
Estoy interesado en un programa de cuota

My child is currently enrolled in another after school fee based program:
Mi estudiante esta en un programa de cuota en otro lugar

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* 5. My child is currently enrolled in another after school fee based program:
Mi estudiante esta en un programa de cuota en otro lugar

What is your primary email address?
su correo electronico

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* 6. What is your primary email address?
su correo electronico

I can financially commit to paying $80.00 per week for five days of aftercare for the full school
year
Puedo comprometerme a pagar $80.00 cada semana por un año escolar 

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* 7. I can financially commit to paying $80.00 per week for five days of aftercare for the full school
year
Puedo comprometerme a pagar $80.00 cada semana por un año escolar 

If other, what information do you need to share:
Qué más información quiere compartir? 

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* 8. If other, what information do you need to share:
Qué más información quiere compartir? 

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