DEVDevelopment Environment — data here is for testing onlyDEV

Fall 2026 Club Intake

⚠️ Testing environment — this is the Fall 2026 Club intake form on the development site. Submissions are saved to the development database for testing. Meeting dates and times are coming soon.

Step 1 of 6

Student & Parent Information

The purpose of this form is to collect basic demographic information about your family, medical needs your student has, and an authorized list for pick-up and drop-off.

Which Latinitas Club location will your student attend? Please select one. *

🗓️ Meeting dates and times: Coming soon

Austin

Blazier ES — 8601 Vertex Blvd, Austin, TX 78744Galindo ES — 3800 S 2nd St, Austin, TX 78704Hillcrest ES — 6910 E William Cannon Dr, Austin, TX 78744Houston ES — 5409 Ponciana Dr, Austin, TX 78744Linder ES — 2800 Metcalfe Rd, Austin, TX 78741Perez ES — 7500 S Pleasant Valley Rd, Austin, TX 78744Pillow ES — 3025 Crosscreek Dr, Austin, TX 78757Rodriguez ES — 4400 Franklin Park Dr, Austin, TX 78744Marshall MS — 4401 Tilley St, Austin, TX 78723Ojeda MS — 4900 McKinney Falls Pkwy, Austin, TX 78744Palm ES — 7601 Dixie Dr, Austin, TX 78744Webb MS — 601 E St Johns Ave, Austin, TX 78752Newton Collins — 7609 Apogee Blvd, Austin, TX 78744

San Antonio

Medio Creek ES — 8911 Excellence Dr, San Antonio, TX 78252Wright ES — 115 E. Huff Ave, San Antonio, TX 78214Wells MS — 422 W. Hutchins Pl, San Antonio, TX 78221Kingsborough MS — 422 E Ashley Rd, San Antonio, TX 78221

Student's First Name *

Student's Last Name *

Student's Preferred Name (optional)

Student's Date of Birth *

Student's Rising Grade Level *

Student's School Attended

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Best method of contacting you *

EmailTextPhoneNo preference

Can this number receive text messages? *

YesNo

What is your preferred language for communication with Latinitas staff? *

EnglishSpanish

Would you like to be added to our WhatsApp group for Club announcements and updates?

YesNo

Alternate Emergency Contact Person's Name *

Alternate Emergency Contact Person's Phone Number *