Family Registration

Kick off Week of the Young Child with Kids Day in the Park!
Families stop by for a morning of fun with many local community organizations promoting fun activities for the family. Meet a PBS KIDS character for a meet and greet. Stop by the Registration table at the event to pick up your special KLRN bag with goodies. 
Please fill this registration form to attend. Onsite Registration will be available.
Parking can be found around San Pedro Springs Park and at the San Antonio College Garage #3 directly across from San Pedro Park. 

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* 1. Contact information

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* 2. Including yourself, how many people will attend the event with you?
Incluyéndote a ti, ¿cuántas personas te acompañaron al screening?

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* 3. What are the ages of ALL of  the children in your household?
¿Cuáles son las edades de TODOS los niños de su hogar?

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* 4. How did you hear about this event? (Check all that apply.)
¿Cómo se enteró del evento de hoy? (Marque todo lo que corresponda.)

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* 5. Would you be interested in any of the following?
¿Estaría interesado en alguno de los siguientes?

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* 6. Are you a part of the Dual Generation Program?

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* 7. If you are a part of the Dual Generation Program, what partner agency do you work with? Please check all that apply:

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* 8. If you are interested in the Dual Generation program please indicate so here.  Dual Generation is for families that live in the following zip codes: 78202, 78203, 78205, 78207, 78208, 78210, 78215, 78218, 78219, 78220, 78222, 78227, 78237 that meet eligibility requirements, have a child(ren) ages 0-10 and want tuition assistance for a job training program, monthly support and access to resources such as quality childcare, financial empowerment, parenting classes, transportation assistance and more.

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* 9. 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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* 10. Would you like to receive free videos and activities from PBS KIDS show Cyberchase, sent right to your phone? Explore math, science and the environment through indoor and outdoor experiments, games and crafts for kids ages 5-8 years. / Reciban videos y actividades gratuitas del programa Cyberchase de PBS KIDS directamente en su celular.  Exploren el mundo de las matematicas, la ciencia, y el medioambiente a traves de experimentos, juegos y manualidades en el interior y al aire libre para menores de 5 a 8 anos.

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

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* 12. 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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We look forward to seeing you on April 1st!

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