Student Application
Student Application

CGESD 2017 Summer of Coding - Student Application
 


►Student Information / informacion de estudiante

Student's First Name / primero nombre del estudiante: 
Student's Last Name / el apellido nombre del estudiantes: 

Name of last school attended / Nombre de la ultima escuela que asistio su hijo/a

Grade level student completed in the 2016-2017 school year /grado que su hijo/a acaba de completar

My child receives special education services. 

Student's current address / Direccion actual del estudiante:
StreetCalle:
City /Ciudad:  
Zip Code / Codigo postal: 

 


 

 

►Parent/Guardian names and phone numbers/ Padre/Guardian nombres y numeros de telefono:

Name / Nombre: 

Phone Number/Numero de telefono

Email /Correo electronico: 

Name /Nombre

Phone Number/Numero de telefono


►Emergency contact/s other than the parent/guardians listed above / Contactos de emergencia que no sean los padres/guardianes mencionados arriba

Name/Nombre:
Phone Number/Numero de telefono

Name/Nombre 
Phone Number
/Numero de telefono:
 


►Transportation Information / informacion de transporte

My child will walk on the days checked / Mi hijo va a caminar en los dias marcados:
Not Applicable/No es aplicable
Monday/Lunes
Tuesday/Martes
Wednesday/Miercoles
Thursday/Jueves

My child will be dropped off on the days checked / Mi hijo sera llevado los dias marcados:
Not Applicable/No es aplicable
Monday/Lunes
Tuesday/Martes
Wednesday/Miercoles
Thursday/Jueves

My child will need transportation on the days checked / Mi hijo va a necesitar transporte en los dias marcados:
Not Applicable/No es aplicable
Monday/Lunes
Tuesday/Martes
Wednesday/Miercoles
Thursday/Jueves

Please write the pick-up address for the bus driver / Si su hijo necesita, por favor escriba la direcion de recogida para el conductor de autobus:


Street/Calle 
City / Ciudad 
 Zip Code / Codigo postal 

 

Please write the  drop-off address for the bus driver /  por favor escriba la direccion de entrega para el conductor del autobus:

 

Street/ Calle: 
City/Ciudad  
Zip Code
/ Codigo postal 

 


Most students will attend 2 sessions each day. One session will be computer coding while the other is the session of their choice. Please indicate your child's first and second choice. We will do the best we can to accommodate their requests. Please only choose a session that is for the appropriate grade level of your child; the grade level they completed in the 2016-2017 school year. ***The second choice MUST be different than the first choice.

First Choice

Second Choice

 



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