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Registration/Registración
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School Information/Información de la Escuela
School Zip Code/ Código Postal de la Escuela
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Guardian Information/Información Guardián
Legal Guardian's First Name/Nombre del Tutor Legal
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Legal Guardian's Last Name/ Apellido del Tutor Legal
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Your answer
Legal Guardian's Contact Phone/Teléfono del Tutor Legal
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000-000-0000 Format
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Legal Guardian's Contact Email/Electrónico del Tutor Legal
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Please use an active email/Por favor, use un correo electrónico activo
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Who referred you?/¿Quién lo refirió a nuestro servicio?
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Please use an active email/Por favor, use un correo electrónico activo
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Demographic Infomation/Información Demográfica
Is the applicant considered differently abled? (This question is optional and only presented to collect data relevant to funding and research and will in no way effect eligibility for or entrance in to the program)/Se considera que el solicitante capacidades diferentes ? (Esta pregunta es opcional y sólo se presenta para recoger los datos pertinentes a la financiación y la investigación y la voluntad de ningún efecto elegibilidad camino para la entrada o en el programa )
Yes / Sí
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