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3rd Grade Lottery Registration Form 2018-2019
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Registration for the 2018-2019 Lottery Instructions:
3rd Grade Registration 2018-2019 Lottery Instructions:

1. Complete form only for new students applying for the lottery(Not for current students already attending PCCS).

2. Parents/Guardian must electronically complete/submit or come to the office for a paper form(forms can be mailed upon request). Forms must be submitted by noon on February 28, 2018 in order to be included in the lottery on March 1, 2018.

3. You will receive a confirmation receipt of the registration by email. If you don't receive an email from the school within 3 days of submitting the form, please contact Janette Siegel @ 847-548-1938.

4. After the Lottery has been conducted you will receive a mailed letter confirming that your child has been drawn for an open seat or that your child has been placed on the wait list(the wait list will be posted on our Website).

5. When your child's name is drawn and you accept the open seat, PCCS will require:
-- Your signed confirmation letter that you have accepted the seat,
-- 3 items showing Proofs of Residency (E.g. Utility Bill, Rental Agreement, Tax Bill) and
-- Your child’s birth certificate (your child must be 5 years of age on/before Sept 1st in order to enter Kindergarten).

Once these are received your child will be included in the 2018-2019 School Year Registration/Enrollment process in May/June.

Admission is on a non-discriminatory basis and open to all students regardless of race, ethnicity, gender, socioeconomic status, sexual orientation, religious preference or disability. We are a free public school that provides a personalized Kindergarten through 8th Grade education for students that reside in the Woodland (50) and Fremont (79) Districts.

Applicant's Last Name *
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Applicant's First Name *
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Applicant's Middle Name
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Applicant's Date of Birth *
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Applicant's District of Residence *
I am confirming that for the 2018-2019 school year my child will be entering: *
Do you currently have a child/children attending Prairie Crossing Charter School? *
Do you have other children applying for the lottery? Please fill out a separate form for each child applying. *
If you have other children applying for the lottery, please provide their name and grade level for the 2018-2019 school year *
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Father's Name *
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Father's Address (street, city and zip code) *
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Father's Cell Phone *
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Father's Home Phone *
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Father's Email Address *
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Mother's Name *
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Mother's Address *
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Mother's Cell Phone *
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Mother's Home Phone *
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Mother's Email Address *
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Where did you hear about Prairie Crossing Charter School? *
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By checking this box, I confirm and agree that all of the information provided on this document is true and accurate. *
A copy of your responses will be emailed to the address you provided.
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