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.
Student Legal First Name - must match birth certificate *
Student Legal Last Name - must match birth certificate *
Student Date of Birth - must turn 5 yrs old by Sept 1, 2021 *
Street Address *
Physical address where student lives - full address including any apartment or unit number
City/State *
Zip Code *
Parent Name (First/Last) *
Parent Contact Phone Number *
Include Area Code
Parent Email Address *
All registration will be completed via online parent portal; a valid email address is required.
Preferred Immersion Program *
If you are interested in more than one program, please list which ones
Do you have a sibling, or other students currently enrolled in a Lakeside school? *
If yes, which school
Is your incoming kindergarten student currently enrolled in any of the following LUSD programs: *
Has your student ever received Special Ed services? *
If yes, please choose which services they received.
Clear selection
Does your student have any medical conditions we should be aware of? *
If Yes for medical, what are the concerns:
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