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Formulario de inscripción/ Registration Form
Las clases comienzan el 26 de Septiembre del 2018/Classes begin September 26, 2018
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* Indicates required question
Email
*
Your email
Nombre y Apellido/ First and last name
*
Your answer
Domicillio/ Address
*
Your answer
Numero de Telefono/ Phone number
*
Your answer
Nombre del Estudiante/Student Name
Your answer
Grado de el Estudiante / Student's Grade
Your answer
What School Does your Student attend?
*
Ocean View High School
Westminster High School
Huntington Beach High School
Edison High School
Marina High School
Valley Vista
Fountain Valley High School
Coast High School
Huntington Beach Adult School
Other:
Required
¿En qué taller te gustaría participar?/What workshop would you want to participate in?
*
Talleres Para Parejas Miercoles 5:30 PM/ Healthy Relationship Workshops Wednesdays 5:30 PM
(English) Healthy Relationships Workshop for High School Students /Wednesdays 5:30 PM
(English) Level 1PM Computer Class 6-8 PM Tue/Thur
Nivel 1 AM Clase de Computacion/ Level 1 AM Computer Class 8:30-10:30 AM Tue/Thur
Nivel 1 PM Clase de Computacion/ Level 1PM Computer Class 6-8 PM Tue/Thur
Nivel 2 AM Clase de Computacion/Level 2 AM Computer Class 8:30-10:30 AM Tue/Thur
Nivel 2 PM Clase de Computacion/Level 2 PM Computer Class 6-8 PM Tue/Thur
Sueno de Graciela Jueves 6 PM / Gracielas Dream 6 PM Thur.
Required
Necesita Cuidado de Niños?/Do you need Childcare?
*
Si/Yes
no/No
Required
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