Heritage Flex Academy Lottery 2018-2019
Email address *
Kindergarten students must be 5 years old on or before September 1, 2018.
Original birth certificate is required for incoming kindergarten students.
Student Information
Student First Name *
Please type your student's full first name with correct capitalization. Example: John
Your answer
Student Last Name *
Please type your student's full last name with correct capitalization. Example: Smith
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current School *
Please type the full name, city and state of your child's current school. If entering kindergarten, please type the preschool name if applicable.
Your answer
Current Grade (2017-2018 school year) *
What grade is your student currently in for the 2017-2018 school year?
Grade Next School Year (2018-2019) *
What grade will your student be in for the 2018-2019 school year?
Gender *
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