¡HolaKids! Application For Enrollment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Step 1: Please fill out and submit the application form below. (Please fill out one application per child.)
Step 2: Based on the payment preference that you select below, you may submit payment via our payment link or choose mail in the $90 application fee (address below). Once we receive payment, we will process your enrollment request.

Language in Action
5214F Diamond Hts Blvd #208

San Francisco, Ca, 94131-2175

If you selected to to pay the $90 application fee via our payment link, please submit your payment using this link https://buy.stripe.com/dR67vtfVI1lU8Fy000 (This payment method is for application fees only.)

Child First Name *

Child's Last Name *

Gender: *

Birth Date *

Parent 1 Name: *

Address: *

Phone *

Parent 1 Email: *

Parent 2 Name:

Address (if different)

Parent 2 Phone:

Parent 2 Email:

Siblings' Names, Ages, and School:

I am interested in the following campus(es): *

Laurel Hill Campus

Cow Hollow Campus

Noe Valley Campus

Corte Madera Campus

Portola Campus

Campus

Required

Campus Top Preference:

I would like to enroll: *

At earliest possible opening (within the current school year)

School Year 2023 - 24

School Year 2024 - 25

School Year 2025 - 26

School Year 2026 - 27

I would like the following schedule: *

M - F

MWF

T / TH

Extended Care: PM

Required

Additional Comments / Preferences:

APPLICATION FEE PAYMENT METHOD: *

I will pay my $90 application fee via Stripe using the link in the confirmation message

I am mailing $90 check to Language in Action, LLC

Our family has previously submitted an application fee for a sibling (no additional fee required)

Per California law, all children must be current on their immunizations prior to the start of school. *

Yes, I understand this requirement.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms