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SuccESSA+ Parent Conference Registration
Daystar Academy | Good Shepherd Christian Academy | Heritage Leadership Academy | Oakdale Christian Academy |
Ryan Banks Academy | St. Paul ECC | Village Leadership Academy
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Please complete the form below:
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Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Mobile Number (will be used for updates)
Which workshops do you plan on attending?
Executive Functioning Skills in the Classroom and at Home
Battling Bullying & Behavior
Reading is LIT!
Social Media/Cyber Safety with Your Youth
Parent Power: Working with Middle School Mathematics
Trauma-Sensitive Parenting Working with our Youth
Emotional Fitness
Welcome to College Now!
Read with Me: How to Put Your Child on the Path to Success in School and Beyond
Student Information
Your Child's Name
*
First
Last
Is your child/student receiving Title I services?
*
Yes
No
Which school does your child attend?
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
What is your child's grade level?
*
Kindergarten
7th Grade
1st Grade
8th Grade
2nd Grade
9th Grade
3rd Grade
10th Grade
4th Grade
11th Grade
5th Grade
12th Grade
6th Grade
Need to add a SECOND child? (Up to four)
Yes
No
SECOND Child's Name
*
First
Last
Is your SECOND child/student receiving Title I services?
*
Yes
No
Which school does your SECOND child attend?
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
What is your SECOND child's grade level?
*
Kindergarten
7th Grade
1st Grade
8th Grade
2nd Grade
9th Grade
3rd Grade
10th Grade
4th Grade
11th Grade
5th Grade
12th Grade
6th Grade
Need to add a THIRD child? (Up to four)
Yes
No
THIRD Child's Name
*
First
Last
Is your THIRD child/student receiving Title I services?
*
Yes
No
Which school does your THIRD child attend?
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
What is your THIRD child's grade level?
*
Kindergarten
7th Grade
1st Grade
8th Grade
2nd Grade
9th Grade
3rd Grade
10th Grade
4th Grade
11th Grade
5th Grade
12th Grade
6th Grade
Need to add a FOURTH child?
Yes
No
FOURTH Child's Name
*
First
Last
Is your FOURTH child/student receiving Title I services?
*
Yes
No
Which school does your FOURTH child attend?
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
What is your FOURTH child's grade level?
*
Kindergarten
7th Grade
1st Grade
8th Grade
2nd Grade
9th Grade
3rd Grade
10th Grade
4th Grade
11th Grade
5th Grade
12th Grade
6th Grade
Comment / Question
Submit Registration
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Informacion de Padre/Tutor
Nombre del Padre/Tutor
*
Correo de Padre/Tutor
*
Número de Móvil (será utilizada para actualizaciones)
Cuales talleres tiene pensado asistir?
Habilidades de funcionamiento ejecutivo en el salón de clase y en el hogar
Luchar contra la intimidación y el comportamiento
La lectura es cool!
Las Redes Sociales/seguridad en internet
Poder de Padres: Trabajando con matemáticas de la escuela intermedia
la crianza de los hijos al estar consciente del trauma y trabajar con nuestros jóvenes
Salud emocional
Bienvenidos a Colegio Ahora!
Lee conmigo: cómo poner a su hijo en el camino del éxito dentro y fuera de la escuela
Informacion de estudiante
Nombre de su hijo
*
¿Está su hijo/estudiante recibiendo servicios del Título 1?
*
Sí
No
A qué escuela asiste su hijo?
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
En que grado es su hijo?
*
Kindergarten
Séptimo Grado
Primer grado
Octavo Grado
Segundo grado
Noveno Grado
Tercer grado
Décimo Grado
Cuarto Grado
Undécimo Grado
Quinto Grado
Duodécimo Grado
Sexto Grado
¿Necesita agregar otro niño? (No mas de cuatro)
Sí
No
Nombre de su hijo (2)
*
¿Está su hijo/estudiante recibiendo servicios del Título 1? (2)
*
Sí
No
A qué escuela asiste su hijo? (2)
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
En que grado es su hijo? (2)
*
Kindergarten
Séptimo Grado
Primer grado
Octavo Grado
Segundo grado
Noveno Grado
Tercer grado
Décimo Grado
Cuarto Grado
Undécimo Grado
Quinto Grado
Duodécimo Grado
Sexto Grado
¿Necesita agregar otro niño? (No mas de cuatro)
Sí
No
Nombre de su hijo (3)
*
¿Está su hijo/estudiante recibiendo servicios del Título 1? (3)
*
Sí
No
A qué escuela asiste su hijo? (3)
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
En que grado es su hijo? (3)
*
Kindergarten
Séptimo Grado
Primer grado
Octavo Grado
Segundo grado
Noveno Grado
Tercer grado
Décimo Grado
Cuarto Grado
Undécimo Grado
Quinto Grado
Duodécimo Grado
Sexto Grado
¿Necesita agregar otro niño? (No mas de cuatro)
Sí
No
Nombre de su hijo (4)
*
¿Está su hijo/estudiante recibiendo servicios del Título 1? (4)
*
Sí
No
A qué escuela asiste su hijo? (4)
*
Daystar Academy
Ryan Banks Academy
Good Shepherd
St. Paul ECC
Heritage Leadership Academy
Village Leadership Academy
Oakdale Christian Academy
En que grado es su hijo? (4)
*
Kindergarten
Séptimo Grado
Primer grado
Octavo Grado
Segundo grado
Noveno Grado
Tercer grado
Décimo Grado
Cuarto Grado
Undécimo Grado
Quinto Grado
Duodécimo Grado
Sexto Grado
Comentario / Pregunta
Enviar Registro
