Youth Services Management Information System

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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 2026-2027 (If you are enrolling for the current school year, please be sure to select 25-26.) King Chavez Academy of Excellence - King-Chavez Academy of Excellence 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 Alexis Dias de Leon at ADiaz@sdyouth.org or 619-933-9949.

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

INTEREST FORM

Parent/Guardian Contact Information

Youth Information

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INTEREST FORM

Parent/Guardian Contact Information

Youth Information