JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
9th Grade Course Request & Summer School Registration Form
All questions with a red asterisk* require an answer.
I understand course requests are not final and may be subject to change.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
California State Student ID Number (SSID)
Your answer
Student ID Number
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
STUDENT Phone Number
Your answer
STUDENT Email Address
*
Your answer
PARENT/GUARDIAN First and Last Name
*
Your answer
PARENT/GUARDIAN Phone Number
Your answer
PARENT/GUARDIAN Email Address
Your answer
What is the name of your middle school?
*
Choose
Blackstock
E.O. Green
Kamala
Oceanview
Soria
Frank Academy
Lopez Academy (Haydock)
Monte Vista
Rio Del Sol
Driffill
Fremont
Rio Vista Middle
Curren
Please select all categories that apply to you, the student:
*
Special Education/Individual Education Plan (IEP)
504 Plan
English Language Development (ELD)
Honors or Gifted and Talented Education (GATE)
Advancement Via Individual Determination (AVID)
None of the above apply to me/I don't know.
Required
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oxnard Union High School District.
Report Abuse
Forms
