INTEREST FORM
This form requires you to enter personal information. If entering information using public Internet (such as in a public library setting), please make sure to fully exit out of the browser to ensure your information remains private.
This form indicates your interest in enrolling your student for the SY 2021-2022 South Bay Union School District - Mendoza Elementary School 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 Beatriz Velazquez at bvelazquez@bgcscounty.org or 619.424.2266 x106.
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 2021-22
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
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