Goethe International Charter School Initiative   EMAIL ALERTS: Please fill in your name and email to receive our updates........................... SURVEY: Please fill this form out completely if you are interested in your child enrolling at Goethe International Charter School of Los Angeles. (If you are a teacher, simply write us an e-mail and we will get back to you) Please note: This is NOT an enrollment form, but simply gives us an idea of who is seriously interested.   PRIMARY PARENT First and Last Name of Primary Parent: E-mail of Primary Parent: Cell phone number of Primary Parent (xxx-xxx-xxxx) SECONDARY PARENT First and Last Name of Secondary Parent: E-mail of Secondary Parent: Cell phone number of Secondary Parent(xxx-xxx-xxxx) HOME INFORMATION Home phone number (xxx-xxx-xxxx) Address - Street: Address - Apartment: Address - City: Address - State: Address - Zip Code: Number of children born in 1999 or later: 0 1 2 3 4+ CHILD 1 Please enter the first and last name of the oldest child you might enroll: Birthdate of oldest child (mm/dd/yyyy): If enrolled, please select the grade level: 2009 Kindergarten 2009 1st Grade 2009 2nd Grade 2009 3rd Grade 2009 4th Grade 2010 and beyond CHILD 2 Please enter the first and last name of the second oldest child you might enroll: Birthdate of second oldest child (mm/dd/yyyy): If enrolled, please select the grade level: 2009 Kindergarten 2009 1st Grade 2009 2nd Grade 2009 3rd Grade 2009 4th Grade 2010+ CHILD 3 Please enter the first and last name of the third oldest child you might enroll: Birthdate of third oldest child (mm/dd/yyyy): If enrolled, please select the grade level: 2009 Kindergarten 2009 1st Grade 2009 2nd Grade 2009 3rd Grade 2009 4th Grade 2010+ LANGUAGES Does your family speak more than one language at home? Yes No What languages are spoken at your home? English German Spanish French other For the children that you wish to enroll in 2009 and 2010, how much German do they know? None Beginner Intermediate Native speaker Would you like to participate in a German tutoring class or summer camp to expose your child to the German language or strengthen his/her German prior to enrollment? Yes No SUPPORT Would you like to volunteer time to make this school possible? Yes No What are your areas of expertise? (Please list them for both parents even if you think they might not be school related) In what area would you like to support us? Community outreach & Public Relations Website and/or Graphic Design Fundraising Petition writing for Middle School Legal support, business, financial area German tutoring (ex. summer camp, private classes) Small tasks (ex. research) E-MAIL LIST Do you wish to receive e-mails about school related issues? Yes No   * Indicates field is required.