LUSD Language Immersion Interest Form 2021/2022 School Year
If you are interested in one of our language immersion programs for your incoming Kindergarten student, please complete this form.
* Required
Student Legal First Name - must match birth certificate
*
Your answer
Student Legal Last Name - must match birth certificate
*
Your answer
Student Date of Birth - must turn 5 yrs old by Sept 1, 2021
*
MM
/
DD
/
YYYY
Street Address
*
Physical address where student lives - full address including any apartment or unit number
Your answer
City/State
*
Your answer
Zip Code
*
Your answer
Parent Name (First/Last)
*
Your answer
Parent Contact Phone Number
*
Include Area Code
Your answer
Parent Email Address
*
All registration will be completed via online parent portal; a valid email address is required.
Your answer
Preferred Immersion Program
*
Full Immersion Spanish @ Winter Gardens (619) 390-2687
Full Immersion Mandarin (Winter Gardens)
Partial Immersion Spanish @ Lakeview (619) 390-2652
Interested in more than one program
If you are interested in more than one program, please list which ones
Your answer
Do you have a sibling, or other students currently enrolled in a Lakeside school?
*
No
Yes
If yes, which school
Your answer
Is your incoming kindergarten student currently enrolled in any of the following LUSD programs:
*
Transitional Kindergarten (TK)
EAK
LEAP Pre-school
None of the above
Has your student ever received Special Ed services?
*
No
Yes
Other:
If yes, please choose which services they received.
Speech
Special Day Class
Clear selection
Does your student have any medical conditions we should be aware of?
*
No
Yes
If Yes for medical, what are the concerns:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Lakeside Union School District.
Report Abuse
Forms
