LFA Online Registration Form

To register online, please fill out the information below and "click" the Submit Registration button. Fields marked by * are mandatory.

Student/Parent Information
  First / Middle Name Last Name
Student Name: * *
Parent/Guardian: * *
Contact Information
Street: *
City/State: * *
Zip Code: *  
Primary Phone: *  
Secondary Phone:  
Other Phone:  
Email: *  
School Information
School: *  
Grade: *  
Room: *  
Pick up Information
Day Care: DayCare  
  First Name Last Name
Regular Pick up: * *
Emergency Pick up: * *
Comments / Allergies / Additional Information
The Primary phone should be the number we can reach you at most readily, such as a cell phone. All the information collected is required by the PAUSD and for security purposes. We do not distribute, share or sell your email to any third parties.