2019-2020 Pacific Elementary School Lottery Application for Interdistrict Transfer Students
To be included in the February 2019 lottery you must have completed this form BY FRIDAY, FEBRUARY 8, 2019.

Please complete a separate form for each student. This includes students currently enrolled in Pacific Elementary School and Pacific Preschool. Unenrolled siblings of current students DO need to use this form.

NOTE: Pacific Elementary School currently has openings for 2018-2019. Contact Molly Tierney right away: 831-425-7002 or mtierney@pacificesd.org. Age-appropriate preschool students enrolled by January 1 receive PRIORITY ENROLLMENT in kindergarten for the following year.

Email address *
Student's last name *
Your answer
Student's first name and middle initial *
Your answer
Student's date of birth *
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/
DD
/
YYYY
Student's physical street address *
Your answer
Desired grade for 2019-2020 *
Desired program (check one or both) *
Required
Parent 1 first and last name *
Your answer
Parent 1 phone number(s) *
Your answer
Parent 1 best email address *
Your answer
Parent 2 first and last name
Your answer
Parent 2 phone number(s)
Your answer
Parent 2 best email address
Your answer
How did you hear about Pacific Elementary School? (choose as many as apply) *
Why are you interested in enrolling your child at Pacific Elementary School? *
Your answer
The following question is for information purposes only and for the sole purpose of determining capacity and space issues which would require the creation of a new program or service. Has your student ever been assessed for, recommended to receive, received in the past, or currently receive any of the following? *
Required
Does your student have a sibling who is currently enrolled in Pacific School and will be enrolled in 2019-2020? *
Is either parent active-duty military personnel?
A copy of your responses will be emailed to the address you provided.
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