2018/2019 SPACE Toddler Interest Form
Complete 1 form for each child.
Email address *
Please fill out this interest form to be put on the waiting list. We will contact you via email if a spot opens up.
Parent's name *
Your answer
Mailing address *
Your answer
Phone number *
Your answer
Child's name *
Your answer
Child's birthdate *
Your answer
Child's age on Sept 1, 2018 *
What classes are you interested in? (check as many as apply) *
Required
If your child will have a birthday in September or October and you would like to enroll him/her in the next level class, please explain here:
Your answer
If your child is turning 3 soon after Sept 1 (Sept-Nov) and will be potty-trained, which class is your first choice (if space available)? *
Are you currently enrolled in the SPACE program? (Remember you (the parent) are the student) *
If you answered "no" to the above question, have you been enrolled in the SPACE program in the past?
How many total semesters have you (the parent) attended the SPACE program (include 2017/2018 year)? (We have 2 semesters in 1 school year.) (Make sure to include the 2017/2018 school year.)
Your answer
If there are any questions or comments you would like to include, please do that here. Thank you!!
Your answer
Please feel free to contact Diane Schoonover at dianesc@fsusd.org if you have any questions.
A copy of your responses will be emailed to the address you provided.
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