Forms for Current Pacific School Families
Note: Families interested in enrolling for the first time at Pacific School should go here.
2019-20 Back-to-School Forms Are Ready - All forms should be submitted to the school office or emailed to Molly Tierney, mtierney@pacificesd.org. (Preschool forms here.)
1. Emergency Form - ALL STUDENTS must have a completed emergency form BEFORE attending school. The form is online. Parents sharing custody are each encouraged to complete separate emergency forms. You are welcome to use computers at the school to complete the form.
2. Free or Reduced Price Lunch Application (English or Spanish) and Application Instructions (English or Spanish) - ALL FAMILIES are requested to please complete this CONFIDENTIAL application. Doing so will not hurt the finances of the school and allows us to have accurate information about our student body when applying for grants and government programs. In past years, families who could qualify for free or reduced price ($0.40) lunches have gotten missed because they did not complete the paperwork - let's avoid that this year.
3. Notifications of Rights and Responsibilities English 2019-20 or Spanish 2019-20 - All families, please review. Then print, sign, and return the summary and signature page in English or Spanish.
4. Internet Acceptable Use Agreement (Spanish on second page) - Please submit for all students in grades 1 through 6. Not needed for preschool or kindergarten.
5. Field Trip Driver Form - You must complete this form at the beginning of the year to drive on field trips, even if driving only your own child. The form is now online. You are welcome to use computers at the school to complete the form. You will need to include copies of
6. After School Care Application - for preschool and kindergarten. Please complete even if you do not plan to use the program in case you need to use it on an emergency basis. If you plan to use the program, include a prepayment of $75 or more. This is a fillable pdf. You can download it, complete it, save it, and email it to Hillary Redding (hredding @ pacificesd.org - no spaces). Or you can print it, complete it, and return it to the office.
7. After School Recreation (Rec.) Application - for grades 1-6. Please complete even if you do not plan to use the program in case you need to use it on an emergency basis. This is a fillable pdf. You can download it, complete it, save it, and email it to Hillary Redding (hredding @ pacificesd.org - no spaces). Or you can print it, complete it, and return it to the office.
8. Volunteer Confidentiality Agreement - Please complete if you volunteer in the classroom, LifeLab, field trips, or around students in any capacity.
9. 2019 School Picture Order Form - Due Wednesday, Sept. 4, 2019. Please complete if you want school photos.
10. Parents' Club Welcome Letter - Please read, complete the form on the second page, and return to the office. Also, please read the Parents' Club Calendar.
Back to School Information - For your information only.
Welcome Letters - For your information only.
Other Forms - Please submit to the office as needed or requested.
Request Special Meals Form (English or Spanish)- Use this form to request special meal accommodations for your student; submit to Pacific School Office.
School Medication Authorization Form - Use this form to request designated school personnel to assist any student(s) who are required to take medication during the school day or on school field trips. Medication must be in original packaging with prescription or dosing information. Medication must be accompanied by the completed form with signed authorization from parent/guardian and health care provider.
Physician's Report for Kindergartners and New Students (English/Spanish) - This includes immunization records. Pacific Elementary School District adheres to all state immunization laws. For more information see www.shotsforschool.org.
Interdistrict Transfer Form (English or Spanish, PDF). Use this form only if you have been admitted to or are already a student at Pacific School.
Admitted interdistrict transfer students must complete a new inter-district transfer form EVERY YEAR BY FEBRUARY FIRST. Failure to do so could result in losing your spot at Pacific School. Mail or hand deliver the form to your HOME DISTRICT'S OFFICE, not Pacific School. Addresses are on page 3 of the form.
Other Resources (Not Pacific School Related)
Health insurance for all regardless of immigration status: English or Spanish
If your student is eligible for Free and Reduced Price lunches, you may also be eligible for the following programs:
2019-20 Back-to-School Forms Are Ready - All forms should be submitted to the school office or emailed to Molly Tierney, mtierney@pacificesd.org. (Preschool forms here.)
1. Emergency Form - ALL STUDENTS must have a completed emergency form BEFORE attending school. The form is online. Parents sharing custody are each encouraged to complete separate emergency forms. You are welcome to use computers at the school to complete the form.
2. Free or Reduced Price Lunch Application (English or Spanish) and Application Instructions (English or Spanish) - ALL FAMILIES are requested to please complete this CONFIDENTIAL application. Doing so will not hurt the finances of the school and allows us to have accurate information about our student body when applying for grants and government programs. In past years, families who could qualify for free or reduced price ($0.40) lunches have gotten missed because they did not complete the paperwork - let's avoid that this year.
3. Notifications of Rights and Responsibilities English 2019-20 or Spanish 2019-20 - All families, please review. Then print, sign, and return the summary and signature page in English or Spanish.
4. Internet Acceptable Use Agreement (Spanish on second page) - Please submit for all students in grades 1 through 6. Not needed for preschool or kindergarten.
5. Field Trip Driver Form - You must complete this form at the beginning of the year to drive on field trips, even if driving only your own child. The form is now online. You are welcome to use computers at the school to complete the form. You will need to include copies of
- your drivers licence
- proof of insurance (the standard insurance card you keep in your car is fine)
- driving record from the DMV (available here: https://www.dmv.ca.gov/portal/dmv/detail/online/dr)
6. After School Care Application - for preschool and kindergarten. Please complete even if you do not plan to use the program in case you need to use it on an emergency basis. If you plan to use the program, include a prepayment of $75 or more. This is a fillable pdf. You can download it, complete it, save it, and email it to Hillary Redding (hredding @ pacificesd.org - no spaces). Or you can print it, complete it, and return it to the office.
7. After School Recreation (Rec.) Application - for grades 1-6. Please complete even if you do not plan to use the program in case you need to use it on an emergency basis. This is a fillable pdf. You can download it, complete it, save it, and email it to Hillary Redding (hredding @ pacificesd.org - no spaces). Or you can print it, complete it, and return it to the office.
8. Volunteer Confidentiality Agreement - Please complete if you volunteer in the classroom, LifeLab, field trips, or around students in any capacity.
9. 2019 School Picture Order Form - Due Wednesday, Sept. 4, 2019. Please complete if you want school photos.
10. Parents' Club Welcome Letter - Please read, complete the form on the second page, and return to the office. Also, please read the Parents' Club Calendar.
Back to School Information - For your information only.
- Attendance Information (English or Spanish)
- 2019-20 School Calendar (printable PDF version)
- School Google Calendar Online
- Electronic Family Handbook
- The lunch menu can be found on the "Menu and Calendar" page under the "Stay Current" tab
Welcome Letters - For your information only.
- FoodLab Welcome Letter 2019
- Kindergarten Welcome Letter 2019
- Independent Study K-2 Welcome Letter 2019
- First-Second Welcome Letter 2019
- Third-Fourth Welcome Letter 2019
- Fifth-Sixth Welcome Letter 2019 English or Spanish
- Independent Study 3-6 Welcome Letter 2019
Other Forms - Please submit to the office as needed or requested.
Request Special Meals Form (English or Spanish)- Use this form to request special meal accommodations for your student; submit to Pacific School Office.
School Medication Authorization Form - Use this form to request designated school personnel to assist any student(s) who are required to take medication during the school day or on school field trips. Medication must be in original packaging with prescription or dosing information. Medication must be accompanied by the completed form with signed authorization from parent/guardian and health care provider.
Physician's Report for Kindergartners and New Students (English/Spanish) - This includes immunization records. Pacific Elementary School District adheres to all state immunization laws. For more information see www.shotsforschool.org.
Interdistrict Transfer Form (English or Spanish, PDF). Use this form only if you have been admitted to or are already a student at Pacific School.
Admitted interdistrict transfer students must complete a new inter-district transfer form EVERY YEAR BY FEBRUARY FIRST. Failure to do so could result in losing your spot at Pacific School. Mail or hand deliver the form to your HOME DISTRICT'S OFFICE, not Pacific School. Addresses are on page 3 of the form.
Other Resources (Not Pacific School Related)
Health insurance for all regardless of immigration status: English or Spanish
If your student is eligible for Free and Reduced Price lunches, you may also be eligible for the following programs:
- Summer Meal Programs within the same city or school district and the CDE Summer Meal Programs Web page
- Special Supplemental Nutrition Program for Women, Infants, and Children with instructions on how to apply