JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Buchanan St. Elementary Enrollment Information
Please fill out each line and we will call you with additional information.
(Complete cada línea y lo llamaremos con información adicional.)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Today's Date / fecha
MM
/
DD
/
YYYY
Child's Name / El nombre del niño
Your answer
Child's Full Birthdate - (must include year) / Fecha de nacimiento completa del niño (debe incluir el año)
Your answer
Guardian - Parent Name / Tutor: nombre del padre
Your answer
Relation to Child / Relación con el niño(a)
Parent / padre
Foster Parent / padre adoptivo
Grandparent / abuelo
Other / otro
Clear selection
Full ADDRESS Where the Child Resides / DIRECCIÓN COMPLETA Donde reside el niño(a)
Your answer
Contact Phone Number / Teléfono de contacto
Your answer
Interested Grade / Grado interesado(a)
ETK
TK
Kinder
1st
2nd
3rd
4th
5th
Are you interested in our STEM Magnet or Dual Language? / ¿Está interesado en nuestro programa STEM Magnet o en dos idiomas?
STEM Magnet
50/50 Immersion Dual Language (Spanish)
Clear selection
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of LAUSD.
Report Abuse
Forms