Enrollment Application
Spanish Language Forest School and Spanish Weekend Daycare
Are you applying for Immersion Spanish Program?
Yes
No
Email us and tell us
Child's Information
Child's Name
First Name
Last Name
Gender
Female
Male
Other
Date of Birth
-
Month
-
Day
Year
Child's Living Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any relevant information you want to add.
Parent/Guardian Information
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship with the child
Mother
Father
Grand Parents
Other relatives
Guardian
Other
Other Information for the School to know
Has the child attend any other language program previously?
Yes
No
Please give details about what are you looking for...
Location, reason for changing school
Child´s Health
Is your child immunized?
Polio (4th dose)
Chickenpos (2nd dose)
MMR (2nd dose)
DTaP (5th dose)
Hep B (3rd dose)
Other
Please select the ones if you suspect
Delay in speech and language skills
Delay in development skills
Delay in motor/physical development
Delay in social/behavioral skills
Other
Please select any medical and/or psychological diagnoses the child currently has
Astma
Autism / PDD
Speech Disorder
Vision Problems
Birth Injury
Behavior Diagnosis
Hearing Problems
Heart Problems
Physical Impairment
Seizures / Epilepsy
Traumatic Brain Injury
Genetic Disorder
Allergies
There is no diagnosis
Other
Please give details
Second Language Background Information
Does your family have a Latino background or Latino connection? If so, please specify.
Yes
No
Please give details
Who in your household speaks Spanish regularly?
Mother
Father
Grand Parents
Other relatives
Aunt-uncle
Other
If Spanish is not spoken at home, who will be responsible for helping your child learn the language?
Mother
Father
Grand Parents
Other relatives
Aunt-uncle
Other
What are your goals in raising a bilingual child?
Have you actively exposed your child to the Spanish language before?
Yes
No
On average, how many minutes per day do you dedicate to practicing Spanish with your child?
Are you aware of your child's proficiency level in the Spanish language? If so, please describe their skills.
How many words do you think you child knows by now? Explain...
Emergency Contact - Other than Parent/Guardian
Person in Charged
First Name
Last Name
Email
example@example.com
Relationship with the child.
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Retobilinguismo, LLC Policies Agreement
I agree to provide a 30-day written notice prior to my child's last day at Loritos Nature-Based Spanish Immersion Program. Failure to do so will result in forfeiting my last month's tuition, if already paid.
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
I understand that Loritos may experience necessary school closures due to various factors, including severe weather conditions such as wind speeds of 21+ mph, potential COVID-19 exposure, lightning in the park, an Air Quality Index (AQI) of 101+, or a Particulate Matter (PM) reading of 2.5+. I acknowledge that these safety closure days will not result in a refund of tuition fees.
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
I understand that school hours at Loritos run from 9:00 am to 12:00 pm on Saturdays. If I am more than 15 minutes late dropping off the child, I agree to escort my child to the designated morning meeting spot. I also acknowledge that a late fee of $35.00 will be charged if I am more than 15 minutes late picking up my child (after 12:15 pm), which is the same amount as the cost of one hour class.
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
I understand that if I choose to take time off from school during Non closure dates, tuition will remain the same and there will be no discounts or refunds for dates missed from school.
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
For Loritos: In consideration of my participation and the participation of my child(ren) in the activities of Loritos Nature-Based Spanish Immersion Program, I hereby release Loritos from any liability for injuries or loss that I or my minor child(ren) may incur as a result of said activities for as long as we participate in them. I acknowledge that some activities may involve risk-taking. However, I fully accept these risks on behalf of myself and my child(ren) and agree to hold harmless and free from any and all liability Loritos Nature-Based Spanish Immersion Program, Golden Gate Park, the City and County of San Francisco, Ocean Beach (United States of America), all volunteers, and employees for injuries that may be incurred while engaged in said activities..
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
I understand that my child's photo and videos will be taken on a daily basis at Loritos for observations, keepsakes for the child's family, recaps of the child's day at school to be sent to the child's family, and may be used on Loritos Nature-Based Spanish Immersion Program website. I recognize that this is an integral part of what makes Loritos unique. It allows parents to capture every moment of their child's day and observe how their confidence and self-esteem develop over time. These pictures will be sent to me daily via our WhatsApp group chat, accompanied by a write-up (blog) about early second language development, challenges, and suggestions on how to handle them.
Please Select
Yes, I agree and will comply.
No, I will not agree and will not comply
I understand that was quite a bit of information to process! Thank you for taking the time to consider Loritos Nature-Based Spanish Immersion Program for your child's educational, social, and emotional development during their Preschool/TK/K school year. I am eager to connect with you soon and discuss how Loritos can be the perfect fit for your child. Thank you again for considering us!
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