OCEANSIDE UNIFIED - LINCOLN MIDDLE  

INTEREST FORM

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This form indicates your interest in enrolling your student for the SY 2024-2025 Oceanside Unified - Lincoln Middle after school program. Please complete one interest form per student. Submitting this intent to enroll form DOES NOT guarantee enrollment. For questions on completing the form, contact Mark Henry at mark.henry@oside.us or 760 529-7014.

All fields are REQUIRED, unless noted by an (*) ASTERISK.
Parent/Guardian Contact Information
Parent First Name
Parent Last Name
Email
Home Phone
Street Address
City
State
Zip
Preferred Method of Contact	Phone  Email
Youth Information
First Name
Last Name
Date of Birth
Grade Level in 2024-25	TK K 1 2 3 4 5 6 7 8 9 10 11 12 Ungraded Graduated
Has your child previously attended the after school program at this school?	Yes  No
Submit registration packet using online form or mailed packet?	Online  Mailed Packet
Type of Program Needed:	Before School  After School  Before School Summer  After School Summer  Intersession
Days of the week the student will attend the program:	MON  TUES  WED  THUR  FRI
Is your child a homeless or foster youth?	Yes  No
Does your child require any special accommodations?	Yes  No