Dual Language Immersion Program Parent Enrollment Request Form

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Please complete the following form to enroll your student in Dual Immersion at Valley View Elementary.

If Valley View is not your home school. You will need to complete an Open Enrollment Form and submit all documents to your home school.

Email *

Alternate Email *

Best Contact number *

Parent's Name (First and Last) *

Student Name (First and Last) *

Student's Birth Date

YYYY

Sex

Male

Female

Clear selection

My Child is a (choose one) *

(Students marked Fluent Spanish speakers will be assessed)

Basic Spanish speaker

Fluent Spanish speaker

Non Spanish speaker

Required

Move-In Date to Pleasanton: *

YYYY

Neighborhood School:

Do you have other children enrolled in the Valley View Dual Immersion Program? *

Yes

Please list siblings names

Submit

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