Pre-K - 8th Grade Community Registration Form

Pre-K - 8th Grade Community Registration Form
Registración Para Niños de La Comunidad, de Grado Pre-Escolar al 8vo Grado

Name of Parent/Guardian | Nombre del Padre/Tutor

Phone | Número telefónico

Email | Correo Electrónico

City of Residence | ¿En cuál ciudad vive?

Please register each child from your household individually|Por favor registre cada niño/a individualmente. En cada cuadro anote la edad, grado, escuela y genero de cada niño/a.

Child 1 Name|Nombre del Niño/a 1 / Child 1 Age|Edad / Child 1 Grade|Grado / Child 1 School|Escuela / Child 1 Gender|Genero

Child 2 Name|Nombre del Niño/a 2 / Child 2 Age|Edad / Child 2 Grade|Grado / Child 2 School|Escuela / Child 2 Gender|Genero

Child 3 Name|Nombre del Niño/a 3 / Child 3 Age|Edad / Child 3 Grade|Grado / Child 3 School|Escuela / Child 3 Gender|Genero

Child 4 Name|Nombre del Niño/a 4 / Child 4 Age|Edad / Child 4 Grade|Grado / Child 4 School|Escuela / Child 4 Gender|Genero

Child 5 Name|Nombre del Niño/a 5 / Child 5 Age|Edad /Child 5 Grade|Grado / Child 5 School|Escuela / Child 5 Gender|Genero

Does your family qualify for free or reduced meals at school? (Check Yes or No) - This data helps us when we are writing grants to secure funding for the STREAM Festival, college bound and literacy programs for our PreK-12 grade community | ¿Califica su familia para alimentos gratis o precio reducido en la escuela? Por favor marque sí o no. Usamos esta información cuando solicitamos becas para financiar eventos: STREAM, eventos para promover lectura y asistir a la universidad. Estos eventos son gratuitos para nuestra comunidad de edades pre-escolares a edad preparatoria.
Yes No

My child(ren) will be the first in our immediate family to complete a college degree (Check Yes or No) | Mis hijos serán los primeros en asistir y terminar sus estudios universitarios en nuestra familia inmediata. (Marque Si o No)
Yes No

Family Ethnicity (Feel free to include multiple ethnicities if that reflect your family’s identity) | ¿Cuál es la etnicidad de su familia? (Siéntase libre de incluir múltiples etnicidades)

Are you of Hispanic, Chicano, Latino, or of Spanish origin? (Check Yes or No) | Se identifica usted y su familia como hispanos, chicanos, latinos u otro origen español.? (Marque Si o No)
Yes No

Family Race (You can select multiple as you feel appropriate) | ¿Con cuál raza se identifica su familia? (Usted puede seleccionar más de una)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Guardian/Parent Highest Grade/Education Level (Select one option) | Nivel más alto académico de padres o tutor (seleccione uno)
I have not completed high school
High school degree or equivalent (e.g. GED)
Some college, no degree
Associate degree (e.g. AA, AS)
Bachelor’s degree (e.g. BA, BS)
Master’s degree (e.g. MA, MS, MEd)
Professional degree (e.g. MD, DDS, DVM)
Doctorate (e.g. PhD, EdD)

Check all that apply | Marque todos los que aplican a usted
I rarely hear my child talk about Science, Technology, Engineering, Math
I look for opportunities to engage my child in STEM
STEM is an area that I don’t know much about
My child looks forward to STEM activities
Science, Technology and Math are areas that I encourage my children to pursue academically
My child is intimidated or insecure about Science, Technology, Engineering, Math
I believe attending events like STREAM Festival will help increase my children’s academic confidence

This is my first time attending a college campus (Check Yes or No) | Esta es la primera vez que asisto una Universidad. (Marque sí o no)
Yes
No

How did you hear about this event? | ¿Cómo se dio cuenta de este evento?
School
Flyer
Friend
PeachJar
Other

Check all that apply | Marque todos lo le que es apropiado para usted
I would like more information about how to enroll at MiraCosta College
I would like information about English (ESL) classes
I would like information about Immigration Classes
I would like information about Adult High School Education

Gracias por registrar a su/s hijos para participar en el Festival STREAM. Usted recibirá un correo electrónico confirmando que recibimos la registración, y para recordarle del evento ya que se | Thank you for registering your child(ren) to participate in the STREAM Festival. You will receive an email confirming that we received the registration, and to remind you of the evento.