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ASP Registration Form 2019

San Benito CISD Afterschool Program
Summer Track Program
Registration Form Spring 2019

Gender/Genero*
Answer Required
State/Estado*
Answer Required

There will be transportation to track meet only. / Si habra transporte para seguir las reuniones.

Mother's Information / Informacion de la Madre

Father's Information / Informacion del Padre

Track Singlet Size*
Answer Required

Emergency Contact and Pick Up Information / Informacion de Emergencia y quien puede recoger a mi hijo(a)

List Primary Pick-Up First / A note a la persona principal primero

In the event of an emergency, if the ASP CANNOT reach me, I hereby authorize the school and/or San Benito CISD employees to give consent for medical treatment for the above named child. (Texas Family Code 32.001)
Answer Required
En el caso de una emergencia y no podemos localizarlo/a,¿autoriza usted a la escuela y/o a sus empleados para darle tratamiento medico a su hijo(a)? (Seccion 35.01 del Codigo Familiar de Texas)
Answer Required
Student Birth Certificate/Certificado de nacimiento del estudiante
Answer Required
or drag it here.