Waitlist Rockford Spanish Immersion - In-District Application
2024-2025

If you are filling out this application it will be for a waitlist FOR ALL GRADE LEVELS.
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Email *
I understand that my child will be placed on the waitlist. *
Grade my child currently is in *
Is your child currently enrolled in a Spanish Immersion Program? *
What school/program to they currently attend *
Student's Full Legal Name: First, Middle, Last *
Gender *
Birth date *
MM
/
DD
/
YYYY
Home address including City and Zipcode *
Parent/Guardian Name filling out the form *
Relationship to Child *
Phone Number to Parent/Guardian filling out the form *
Parent/Guardian #2 Name *
Relationship to Child *
Phone Number to Parent/Guardian #2 *
Email Address of Parent Guardian #2 *
Please Check the school your child would normally attend according to your home address *
Special Needs: Has the student ever received an educational assessment (IEP or Section 504 Plan) for speech, resource room, ECSE or other? *
If yes, please indicate if it was for speech, resource room, ECSE, or other
Please list any special, medical and/or educational needs or accommodations that we should be aware of:
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