Summer Youth Program
Spanish American Center
112 Spruce Street, Leominster
978-534-3145
Ages/Edades: 5-18
Where/Donde: Spanish American Center 112 Spruce Street Leominster
When/Cuando: Junio 29 hasta Agosto 8/ June 29th to August 8th
Hours/Horario: 9:00 AM -12:30 PM
Niño/Child:
Edad/Age:
Direccion/address:
Alergia(s)/Allergie(s):
Padre(s)/Parent(s):
Telefono/Telephone:
Contacto de Emergencia/Emergency contact:
I will allow my child to be photographed: [YES] [NO]
Doy permiso para que mi hijo(a) sea fotografiado(a): [SI] [NO]
I will allow my child to go on local field trips: [YES] [NO]
Doy permiso que mi hijo(a) participle and viajes locales: [SI] [NO]
My child is allowed to walk home: [YES] [NO]
My hijo(a) tiene permiso para caminar a casa: [SI] [NO]
Signature/Firma0