Student Registration

Para ver la inscripción en español HAGA CLIC AQUI

Date: October 4, 2023
Siblings Attending La Academia Dolores Huerta?        Name of Sibling(s):
Student's Name: Last: First: Middle Initial:
Parent/Guardian name: Last: First:
Home Address: Street City Zip
Home Phone Number: Area Code
Gender:
Grade (next school year):
Mailing Address (if different): Street City Zip
Birthdate: Month Day Year
Email Address:
Have you ever attended school in las cruces?
If Yes: Name of school Year: Grade(s):
If No: Name of school you last attended: Address
City State Zip
Special Services:
Is your child currently in special education?
ELECTIVES
Number electives from 1-3, 1 being first preference and so forth.

Ballet Folklórico
PE/Physical Education
Guitar
Violin
Yearbook
Conjunto Norteño
Creative Media