3rd St. Elementary School Application for Permit Registration Form 2018-19
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 Last Name:
STUDENT First Name
STUDENT: Grade in 2018-2019
TK Transitional Kindergarten (Child MUST be 5 between 9/2/18-12/2/18)
Kindergarten (child MUST be 5 years old ON or BEFORE 9/1/18)
STUDENT: Current School
Parent/Guardian 1 Full Name
Parent/Guardian 2-Full Name (optional)
Preferred Phone Number
Additional Phone Number (optional)
Additional Email (optional)
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:
Home Street Address
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. Dual language permits are now offered solely by the District. For more information about KDLP enrollment, please check the school's website.
For which type of permit will you be applying for?
Intra-District Child Care Permit (child care provider lives/operates within 3rd Street school boundaries) *additional information needed on #17
Intra-District Work Permit (one parent is employed within 3rd Street school boundaries) *additional information needed on #17
Intra-District Specialized Program: Transitional Kindergarten (Resident School does not offer TK Program)
Intra-District Specialized Program: School for Advanced Studies
Sibling: student already has a sibling attending 3rd Street Elementary on a valid permit
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
Is there any additional information that you would want to share about your child? (optional)
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of LAUSD. -
Terms of Service