200                                                 Recibida: ______________________

                                                                                                            (fecha)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Por:___________________________

                                                                                                 Emerson Elementary  School
                                                       Número:_____________

   AHEAD - FERIA OLÉ

COMPETENCIA – AMADO NERVO

        PLANILLA DE INSCRIPCIÓN 

Fecha de plazo:         

Enviar a:              1641 - Emerson Elementary  School

                             María P. Acosta   

 

Nombre del estudiante:____________________________________ 

Dirección:_______________________________________________ 

Teléfono:________________________________________________ 

Dirección Electrónica:_____________________________________ 

Grado:___________   Profesor/a:____________________________ 

Escuela:_____________________ Correo Inter-Escolar:_________  

                                                       

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Last modified: November 13, 2007