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Lottery Application 
Each student applying must complete a lottery application.
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Email *
Student First Name *
Student Last Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Grade student will be in for the 2026 - 2027 school year?  *
Current School  
Parent First Name *
Parent Last Name *
Address *
Phone Number *
Parent Email *
A copy of your responses will be emailed to the address you provided.
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