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3rd St. Elementary School Application for Permit Registration Form
Thank you for your interest in applying for a permit to 3rd Street Elementary. Please complete this form COMPLETELY FOR EACH CHILD applying for a permit. Any application that is incomplete will NOT BE ACCEPTED. Detailed information about permits can be found at:

* REQUIRED INFORMATION

Student Information
STUDENT Last Name:
STUDENT First Name
STUDENT: Grade in 2017-2018
STUDENT: Current School
Parent/Guardian Information
Parent/Guardian 1 Full Name
Parent/Guardian 2-Full Name (optional)
Preferred Phone Number
Additional Phone Number (optional)
Preferred Email
Additional Email (optional)
RESIDENCY INFORMATION
LAUSD designates resident schools based upon a student's home address. Please use the Resident School Identifier to verify your assigned resident school PRIOR to proceeding. You will need a school release form from your child's home school prior to enrolling. RESIDENT SCHOOL IDENTIFIER: http://rsi.lausd.net/ResidnetSchoolIdentifier/
Home Street Address
City
Zip Code
Is 3rd Street School your assigned resident school?
PERMIT REQUEST INFORMATION
Permits are granted on a space available basis and are NOT GUARANTEED. Students may be called throughout the school year should space become available.
For which type of permit will you be applying for?
INTRA-DISTRICT CHILD CARE/PARENT EMPLOYMENT PERMIT INFORMATION
If applying for a Intra-District child care or parent employment permit, please provide the name, address, and phone number for the Child Care Provider or the name, address, and phone number of your employer within 3rd St. boundaries
Additional Information
Is there any additional information that you would want to share about your child? (optional)
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