EAK Interest list 20/21 school year
This form is to collect information for students who may be interested in EAK beginning in January 2021. Classes will only be available if the enrollment numbers and health department allow.
Students must turn 5 years old between December 3, 2020 and February 28, 2021 to qualify for EAK. If your student is accepted into the EAK program you will be notified with instructions to begin online registration.
Student First Name - must match legal name on birth certificate *
Student Last Name - must match legal name on birth certificate *
Student's Date of Birth - must turn 5 yrs old between Dec 3 - Feb 28, 2021 *
Parent Legal Name - First & Last *
Street Address where student/parent reside - include apartment or unit number if applicable *
City *
Zip Code *
Parent Contact Phone # *
Parent Email Address - registration is attached to email, must have active email on file *
Preferred Program - select English or Spanish Immersion (if available) *
Do you have other students enrolled in the LUSD district *
Does your student receive any Special Education services *
If so, which services
Does your student have any health concerns (allergies, etc.) we should be aware of?
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