LOTTERY FORM 2022-2023
Thank you for your interest in Ararat Charter School. Please complete this application.
If you please, fill out a separate application form for each child.

***Children MUST be at least five (5) years old by September 1st, 2022 to apply for Kindergarten, to apply for Transitional Kindergarten children MUST turn five (5) years old between September 2nd, 2022 and December 2nd, 2022 for School Year 2022-2023.***

***Children MUST be at least six (6) years old by September 1st, 2022 to apply for First grade for School Year 2022-2023.***
Email *
1) Student's Last Name * *
2) Student's First Name * *
3) Student's Middle Name *
4) Date of Birth (mm/dd/yyyy)* *
5) Gender * *
Required
6) Grade in Fall 2022 * *
Required
7) Home/Mailing Address (i.e. 111 Washington Drive #123) * *
8) Home/Mailing Address (City)* *
9) Home/Mailing Address (State)* *
10) Home/Mailing Address (Zip)* *
11) Parent/Guardian's Full Name *
12) Relationship to Child * *
13) Home Telephone Number (i.e.123-455-8888) * *
14) Cell/Other Contact Number (i.e.123-455-8888) * *
15) Does this student have a sibling who is already at Ararat Charter School? ( If yes, please refer to question 16-21) *
16 )First Sibling's Full Name (i.e. Last Name, First Name)
17) First Sibling's Grade in Fall 2022
18) Second Sibling's Full Name (i.e. Last Name, First, Name)
19) Second Sibling's Grade in Fall 2022
20) Third Sibling Full Name (i.e. Last Name, First, Name)
21) Third Sibling Grade in Fall 2022
22) What is the name of the School District to which your child is assigned? *
23) Verify that all the information below is correct *
Required
24) Today's Date (mm/dd/yyyy) *
25) Where did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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