Japanese Dual-language Program Interest Form
[Enter your petition text here. Describe the current situation, your suggestion for what's needed, and your reasons for why this is needed.]
District that you reside in
Child(ren)'s year(s) born
Child / children's names
Your child's language skills (pick one)
1: Fluent in English but not in Japanese
2: Understands and speaks a little Japanese but fluent in English
3: Understands and speaks a little English but fluent in Japanese
4: Fluent in Japanese but not in English
5: Fluent in both Japanese and English
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