Stay Informed About Magic Zone's 2021 After-School Program

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Please complete the below information about each applying student.

Applicant's First Name *

Applicant's Last Name *

Applicant's Date of Birth *

YYYY

Grade (Fall 2021): *

School (Fall 2021) *

Student H.O. # (SFUSD Students Only)

Does this student have Special Needs? *

Yes

Does this student have an Individualized Education Plan (IEP) or 504 Plan? *

Yes

Race/Ethnicity: *

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiin and Pacific Islander

White

Other:

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