Lottery Application - New Students
Email address *
Legal name of Student (first, middle, last): *
Your answer
Age of student as of 10/1/2019 *
Your answer
Current Grade *
Current school
Your answer
Grade 2019/20 School Year *
Sibling of a current RMS student *
Primary Parent/Guardian Contact Information
Required
Name of Primary Parent/Guardian (first, last) *
Your answer
Mobile *
Your answer
Work Phone *
Your answer
Home Phone *
Your answer
Email *
Your answer
Address (street, city, state, zip) *
Your answer
Secondary Parent/Guardian Contact Information
(not required)
Name of Secondary Parent/Guardian (first, last)
Your answer
Secondary Mobile
Your answer
Secondary Work Phone
Your answer
Secondary Home Phone
Your answer
Secondary Email
Your answer
Secondary Address (street, city, state, zip)
Your answer
A copy of your responses will be emailed to the address you provided.
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