Pacific Elementary School
Small School, Huge Community | 831-425-7002
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Back-to-School Forms for Current or Admitted Pacific School Families

2022 Back-to-School Forms - DUE TUESDAY, AUGUST 9

NOTE: Starting with the 22/23 school year, all Back-To-School Forms are now submitted through the Schoolwise Web Portal. If you have come to this page looking for the Back-To-To School forms list, please visit this Schoolwise Web Portal to start the process.

Memo Subscribe
If you haven't already, please subscribe to the school memo in order to receive important information in a timely manner. To do so, click here.

​Sign Your Student (and Yourself!) Up for Onsite Testing
We are offering free onsite COVID testing to all students whose parents opt in. The more people who participate, the safer our entire school community will be! Once you have signed up, you can choose to have your student test weekly or on an as-needed basis. Results are usually available the next day. (Students who were signed up last year do not need to sign up again.)

Good news - Parents can also participate! Sign yourself up as a "Community Member", then be present on campus Monday or Thursday morning 8:30-10:30 to get tested. Students and adults can swab themselves or ask the trained staff to do it for them.

NOTE: Although the form asks for insurance information, you do NOT have to provide it. You can just put NA in all the blanks. ​

Volunteer Agreement - Please complete the Google form if you volunteer in any capacity that involves observation of or engagement with students, such as driving for or chaperoning field trips, supervising the yard, or being a classroom volunteer. Though not required, you are welcome to bring a copy of your COVID vaccination card to the office or email it to Doña Bumgarner at dbumgarner@pacificesd.org (in case vaccine requirements are reinstated at some later date). If you are not fully COVID vaccinated, you may still volunteer for Pacific School. A free onsite COVID testing site is available on Monday and Thursday if you would like to take advantage of surveillance testing.

Parents' Club Information
  • For the 2022-2023 PSF Calendar click here.
  • For the 2022-2023 PSF Calendar in Spanish, click here.
  • Fill out the 2022-2023 PSF Parent Welcome letter and Questionnaire is online here.
  • Parent questionnaire to print out is here.

Welcome Letters
FoodLab Welcome Letter - Important Information about school meals
Transitional Kindergarten Welcome Letter
Kindergarten Welcome Letter
​Grade 1 Welcome Letter 
Grade 2 Welcome Letter
Grade 3 Welcome Letter
Grade 4 Welcome Letter
Grade 5 Welcome Letter
Grade 6 Welcome Letter

Rights, Responsibilities, and Information for Your Reference
Recreation Parent Agreements
Library Agreement and Checkout Policies
Annual Notice to Parents in English or Spanish
​Internet Acceptable Use Policy and Agreement
Online School Handbook
Wellness Guidelines
Other Forms - Please submit to the office as needed or requested.

Current Student Program Change Form - Available HERE - Use this form to request a change between the 5-day, independent study, and home study programs.

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 Transitional Kindergartens, 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.

Oral Health Assessment Form - Form and Instructions in English and Spanish. All families must visit the dentist, complete an oral health assessment, and submit the form during the student's first year in public school.
​
Interdistrict Transfer Form - Use the interdistrct transfer form only if you are a returning student or have been instructed to do so by the Pacific School Registrar.​

Interest Form for Changing Programs - Use the appropriate interest form if you would like to change programs (Home Study, Independent Study, or Five-Day).

Dientes Community Dental will provide dental services to students on campus Friday October 21, 2022 and Monday, April 24, 2023 If you would like your student to participate, please complete This Form, and submit a paper copy to the office.

​
School Picture Order Form - School picture day will be on Thursday, September 22. Make up photo day October 6. Use this form to order photos. Please submit a paper copy to the office.

​
Field Trip Driver Required Documentation - Please complete the Field Trip Driver form and the Volunteer Agreement. Then please provide the following: copies of your driver’s license, proof of insurance (the card you keep in your car is fine), and driving record report from the DMV (available here for a $2 fee:  https://www.dmv.ca.gov/portal/dmv/detail/online/dr). Bring these documents to the office or email them to Dona at dbumgarner@pacificesd.org. All paperwork must be received a minimum of two school days before the trip.

Walk-Bike Form - to allow your student to walk or bike home independently, complete This Form, and submit it to the office.
(c) 2023 Pacific Elementary School District