This form indicates your interest in enrolling your student for the SY 2020-2021 South Bay Union School District - Berry Elementary 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 Bibiana Salazar at or 619.424.2270.
All fields are REQUIRED, unless noted by an (*) ASTERISK.
Parent/Guardian Contact Information
Parent First Name
Parent Last Name
Home Phone
Street Address
Preferred Method of Contact
Phone  Email 
Youth Information
First Name
Last Name
Date of Birth
Grade Level in 2020-21
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