Turtleback ESS Interest form 2023-2024

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We appreciate your interest in our after-school program for the 2023 - 2024 school year.

This form is for families interested in attending ESS that are not currently enrolled.

Please note, ESS is a Voluntary Use Program,
All PUSD elementary schools have an Extended Student Services program on campus. Our organization works diligently to accommodate and serve working families in need of before and after school care. A student’s enrollment at an elementary school does not guarantee them E.S.S. enrollment. As a growing organization, each E.S.S. site may experience limitations that factor into the enrollment capacity and may prohibit the acceptance of additional students at any given time.

The site supervisor Natalie Cante will contact you if space is available and to complete next steps when it is time. 

Email *

Parents Name (Last, First) *

Phone Number *

Name of Student (Last, First) One form per child *

Please indicate if your child attended PUSD Preschool Program during the 2022-2023 School Year *

YES

2023-2024 School Year Grade *

Transition Kindergarten

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

If you feel your family may qualify for ESS Tuition Assistance please follow this link to complete a separate questionnaire.

https://forms.gle/kuhd5bgXFdXMAD628

Yes, I completed this additional questionnaire.

No, I did not complete the additional questionnaire.

Send me a copy of my responses.

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